Lembaran kerja Asas kejururawatan dengan jawapan

What are passive range-of-motion exercises?

1. AThe patient lifts weights to build muscle strength
2. BThe nurse moves the patient's joints without the patient's effort
3. CThe patient walks a set distance each day
4. DThe patient moves their own joints through their full range without any help

What is atelectasis?

1. ANarrowing of the airways caused by asthma or an allergy
2. BInfection and inflammation of the pleura around the lung
3. CCollapse of part of the lung so the air sacs do not fill
4. DA blood clot blocking an artery in the lung

Which behaviour may show that a patient is in pain but cannot say so?

1. AEating a full meal and chatting
2. BSleeping quietly and breathing slowly
3. CGrimacing and guarding a part of the body
4. DReading a newspaper calmly

A caller says they are a patient's daughter and asks for details of the patient's condition. What should the nurse do?

1. AHang up without saying anything
2. BRead out the latest notes over the phone
3. CGive full details, as close family members have a right to know
4. DCheck the patient's wishes and the caller's identity first

Semasa mengukur tekanan darah secara manual, bunyi manakah yang menandakan tekanan sistolik?

1. ABunyi yang didengar sebelum kaf dikembungkan
2. BBunyi ketukan jelas pertama semasa kaf dikempiskan
3. CTitik di mana semua bunyi hilang apabila kaf dikempiskan
4. DBunyi paling kuat yang didengar

A goal states: "The patient will report pain of 3/10 or less within one hour of analgesia." After one hour the patient reports 6/10. What should the nurse do?

1. ARecord the goal as met, as the pain has gone down
2. BChange the goal to 6/10 or less so that it counts as met
3. CRecord the goal as not met and review the plan
4. DWait until the next day to evaluate again

Which of these patients should the nurse attend to first?

1. AA patient with a pain score of 4/10 who had analgesia 30 minutes ago
2. BA patient with diabetes who is sweaty and shaky with a glucose of 2.9 mmol/L (52 mg/dL)
3. CA patient who wants to talk about the results of a scan
4. DA patient asking for their regular evening medicines

Penemuan manakah yang mencadangkan pesakit mungkin sedang mendapat ulser tekanan kategori 1?

1. AKehilangan kulit ketebalan penuh dengan lemak kelihatan tetapi tanpa tulang terdedah
2. BLepuh terbuka dengan dasar merah
3. CTulang atau tendon yang terdedah
4. DKulit utuh dengan kemerahan tidak memucat di atas kawasan bertulang