Cevaplı Hemşirelik esasları çalışma kâğıdı

How should a mistake in a handwritten nursing record be corrected?

1. ATear out the page and rewrite the whole entry
2. BScribble over it until it cannot be read
3. CDraw a single line through it, then sign and date the correction
4. DCover it with correction fluid and write the right entry over it

Ödem nedir?

1. ACilt altında bir morluk
2. BEnfeksiyonun neden olduğu cilt kızarıklığı ve sıcaklığı
3. CDokularda fazla sıvının neden olduğu şişlik
4. DKuru, pul pul cilt

What is the 4AT used for?

1. AMeasuring the risk of malnutrition
2. BRapid screening for delirium
3. CScoring pain in children
4. DAssessing the risk of pressure ulcers

Using Maslow's hierarchy, which patient need should the nurse address first?

1. AA patient who feels lonely because no visitors have come
2. BA patient who is worried about how the wound will look
3. CA patient who wants advice on returning to work
4. DA patient who is short of breath after walking to the toilet

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. BA
3. CP
4. DU

How should a patient collect a midstream urine sample?

1. ACollect the last few drops after the bladder is empty
2. BCollect urine from the toilet bowl after passing it
3. CPass the first part into the toilet, then catch the middle part in the pot
4. DCollect the very first part of the stream in the pot, then pass the rest into the toilet

Yaşlı bir hastada farklı yaşlarda açıklanamayan morluklar var ve bakım veren sorulara her zaman onun yerine cevap veriyor. Hemşire ne yapmalıdır?

1. ABunu yalnızca hastanın komşularıyla konuşmalıdır
2. BBulguları kaydetmeli ve yerel koruma (safeguarding) prosedürünü izlemelidir
3. CYaşlılar kolay morardığı ve bakım veren ilgili göründüğü için görmezden gelmelidir
4. DBakım vereni karşısına alıp istismarla suçlamalıdır

Which nursing diagnosis is written in the problem–aetiology–signs (PES) format?

1. APneumonia related to a bacterial infection in the right lung
2. BImpaired skin integrity related to immobility, as shown by a sacral wound
3. CTurn the patient every two hours to protect the skin
4. DPain related to pain, as shown by the patient saying that it hurts a lot