Lembaran kerja Asas kejururawatan dengan jawapan

Apakah delirium?

1. AGangguan perhatian dan kesedaran yang mendadak dan turun naik
2. BKehilangan ingatan dan pemikiran yang berkembang perlahan selama beberapa tahun
3. CSebahagian daripada penuaan normal
4. DKetidakupayaan pembelajaran seumur hidup

Kadar jantung rehat orang dewasa di bawah 60 denyutan seminit dipanggil:

1. ABradikardia
2. BBradipnea
3. CTakikardia
4. DAritmia

Why might a patient be given thickened fluids?

1. AThey have a stomach ulcer
2. BThey need more calories than they can get from food
3. CThey have difficulty swallowing thin liquids safely
4. DThey are allergic to water

Why should reddened skin over a bony area not be massaged?

1. AMassage can damage the deeper tissues further
2. BMassage makes the redness spread to other areas
3. CMassage is only allowed when done by a physiotherapist
4. DMassage hides early signs of infection

A patient with capacity wants to leave hospital against medical advice. What should the nurse do?

1. AHide the patient's clothes so they cannot leave
2. BExplain the risks, inform the doctor and document the discussion
3. CLock the ward door to keep the patient in until the doctor arrives
4. DLet them go without telling anyone

When should discharge planning begin?

1. AOnly after the doctor agrees to discharge
2. BOn admission, or as early as possible
3. CAfter the patient has gone home
4. DOn the morning of discharge

A pressure ulcer shows full-thickness tissue loss with exposed bone. How is it classified?

1. ASuspected deep tissue injury
2. BCategory 3
3. CCategory 2
4. DCategory 4

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

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