Lembaran kerja Asas kejururawatan dengan jawapan

Which of these is subjective data?

1. AThe patient vomited 150 mL
2. BThe patient's temperature is 37.9 °C
3. CThe patient says she feels sick
4. DThe patient's skin is pale and moist

What does culturally sensitive care mean?

1. ARespecting the patient's beliefs and values when planning care
2. BAsking patients to follow the hospital's culture
3. CGiving every patient exactly the same care plan, whatever their background
4. DOnly caring for patients from your own culture

Prinsip etika manakah yang bermaksud "bertindak demi kepentingan terbaik pesakit dan melakukan kebaikan"?

1. AAutonomi
2. BTidak mendatangkan mudarat (non-maleficence)
3. CKebajikan (beneficence)
4. DKeadilan

A dying patient is no longer drinking and breathes through the mouth. What mouth care is most appropriate?

1. AClean the mouth only once a day with a hard toothbrush
2. BGive large drinks of water every hour
3. CAvoid mouth care so the patient is not disturbed
4. DKeep the mouth and lips moist with frequent gentle care

How should oxygen cylinders be stored on a ward?

1. ALying loose on the floor under the bed so they cannot fall over
2. BStacked on top of each other in a corridor
3. CSecured upright in a holder or trolley, away from heat
4. DIn a warm cupboard next to the radiator

Which patient is at greatest risk of injury from a heat pack?

1. AA patient with a sore lower back after gardening
2. BA patient with reduced sensation from diabetic neuropathy
3. CA young adult with a stiff neck after sleeping in an awkward position
4. DA patient with period pain

While counting an apical pulse, the nurse finds the rhythm is irregularly irregular and the radial rate is lower than the apical rate. Which rhythm is most likely?

1. ASinus tachycardia
2. BAtrial fibrillation
3. CSinus bradycardia
4. DNormal sinus rhythm

A patient who had a GCS of 15 this morning now opens their eyes only to voice and is confused. What should the nurse do?

1. ARecord it and recheck at the next routine time
2. BGive a sedative to calm the confusion
3. CTreat it as deterioration and escalate urgently
4. DLet the patient sleep, as they are probably tired