Lembaran kerja Asas kejururawatan dengan jawapan

What is the 4AT used for?

1. AScoring pain in children
2. BMeasuring the risk of malnutrition
3. CRapid screening for delirium
4. DAssessing the risk of pressure ulcers

In a patient lying on their back, which two areas most often develop pressure ulcers?

1. AThe elbows and the ears
2. BThe shoulders and the chest
3. CThe sacrum and the heels
4. DThe knees and the shins

What is a healthcare-associated infection?

1. AAn infection that only affects healthcare workers
2. BAn infection that the patient already had or was incubating when admitted to hospital
3. CAn infection that develops as a result of care and was not present on admission
4. DAn infection that is passed on only through food

Using the AVPU scale, a patient who opens their eyes and groans only when the nurse squeezes their shoulder is scored as:

1. AV
2. BU
3. CA
4. DP

What is the purpose of the Z-track technique for intramuscular injections?

1. AIt makes the injection go into the fatty tissue instead of the muscle
2. BIt seals the drug in the muscle and stops it leaking into the tissue above
3. CIt numbs the skin before the needle goes in
4. DIt lets the nurse give a larger volume into a small muscle

When washing a patient's eyes, how should each eye be wiped?

1. AFrom the outer corner inwards, using the same part of the cloth for both
2. BFrom the inner corner outwards, using a clean part of the cloth for each eye
3. CIn small circles over the closed eyelid of both eyes
4. DOnly the eye that looks dirty needs cleaning

Pesakit yang mengambil morfin secara tetap sangat mengantuk, mempunyai anak mata sekecil kepala jarum dan bernafas 8 kali seminit. Apakah keutamaannya?

1. ABeri secawan kopi pekat
2. BBeri dos morfin seterusnya seperti dipreskripsikan
3. CBiarkan pesakit tidur dan semak semula dalam empat jam
4. DPanggil bantuan, sokong pernafasan, tahan opioid dan sediakan nalokson mengikut protokol

What is the best way to check that a patient has learned to use an inhaler correctly?

1. AAsk them to repeat the drug's name
2. BAsk the patient to show how they use it
3. CAsk whether they have read the leaflet
4. DAsk whether they have any questions