Lembaran kerja Asas kejururawatan dengan jawapan

In the nursing process, which step comes straight after assessment?

1. AEvaluation, checking whether goals were met
2. BNursing diagnosis, identifying the patient's problems
3. CDischarge planning, deciding when the patient goes home
4. DImplementation, carrying out the care

Which symptoms are typical of high blood glucose (hyperglycaemia)?

1. AShaking, sweating and a fast, pounding heartbeat
2. BItchy rash, wheeze and swollen lips
3. CSlow pulse, cold skin and shivering
4. DThirst, passing a lot of urine and tiredness

Which position is commonly used for giving an enema?

1. AHigh Fowler's position
2. BLeft side-lying (Sims') position
3. CRight side-lying position with both knees bent
4. DProne position

How is pitting oedema checked?

1. APress over a bony area such as the shin for a few seconds and look for a dent
2. BPress on the nail bed and time the return of colour
3. CMeasure the width of both calves with a tape measure once a week and compare them
4. DPinch the skin on the back of the hand and see how fast it falls back

At what angle is a subcutaneous injection usually given?

1. A90 degrees after stretching the skin flat
2. B45 to 90 degrees, depending on the amount of fat
3. CAlways exactly 15 degrees, with the skin stretched flat
4. DAlways parallel to the skin

What is a portable bladder scanner used for?

1. AChecking the urine for blood and protein
2. BTaking a sterile sample of urine for culture without a catheter
3. CDetecting kidney stones
4. DMeasuring how much urine is in the bladder without a catheter

A nurse escalated a deteriorating patient, but the doctor has not come after 30 minutes and the patient is getting worse. What should the nurse do?

1. ATreat the patient with drugs from the cupboard without a prescription
2. BWrite in the notes that the doctor did not come and do nothing else
3. CWait, since the doctor has already been told
4. DEscalate further, for example to a senior doctor or the rapid response team

Kumpulan tanda manakah yang mencadangkan pesakit mungkin berada pada hari-hari terakhir hidup?

1. APerubahan corak pernafasan, kulit sejuk berbintik dan pengambilan berkurang
2. BPengeluaran air kencing meningkat dan tangan hangat
3. CSelera meningkat dan kewaspadaan bertambah
4. DMobiliti lebih baik dan lebih bertenaga