Lembaran kerja Asas kejururawatan dengan jawapan

Tekanan darah 150/95 mmHg yang diukur beberapa kali semasa berehat ialah:

1. ATinggi
2. BNormal bagi mana-mana orang dewasa berumur lebih 40 tahun
3. CNormal
4. DRendah

Before moving a patient, what should the nurse do with the bed height?

1. ALeave it wherever it was
2. BLower it as far as it will go to protect the nurse's back
3. CRaise it as high as it will go
4. DAdjust it to about the nurse's waist height

What is the single most important measure to prevent healthcare-associated infections?

1. AHand hygiene
2. BKeeping every patient in a single room
3. CWearing a face mask all the time
4. DGiving antibiotics to all patients

Which care best protects the skin of a patient with frequent urinary incontinence?

1. AGentle cleansing after each episode and a barrier product
2. BScrubbing the area with soap and hot water twice a day
3. CApplying talcum powder thickly after each episode
4. DLeaving the skin wet so it does not dry out

A patient has just finished a glass of iced water. How should this affect taking an oral temperature?

1. AUse the reading but only if the patient says they feel warm
2. BWait about 15–30 minutes, as the reading may be falsely low
3. CAdd half a degree to the reading to correct for the drink
4. DTake it straight away, as cold drinks do not affect the mouth

How is a 24-hour urine collection started?

1. AA sample is taken every four hours and the rest discarded
2. BThe first urine of the morning is kept and the rest of the day's urine is discarded
3. CThe first urine of the morning is discarded and the time noted, then all urine is kept
4. DOnly urine passed at night is collected

Which feature suggests that a sore area is a moisture lesion rather than a pressure ulcer?

1. AA circular area of damage directly over the sacral bone
2. BA deep wound with straight edges over the hip
3. CA dark area of necrotic tissue over the heel
4. DDiffuse, irregular redness in a skin fold, not over a bone

Why is heat usually avoided on a fresh soft-tissue injury during the first day?

1. AIt makes the muscles weaker for several weeks
2. BIt narrows blood vessels and reduces blood flow to the injury
3. CIt widens blood vessels and can increase swelling and bleeding
4. DIt numbs the area so the patient cannot feel pain