Cevaplı Hemşirelik esasları çalışma kâğıdı

Koma pozisyonu (derlenme pozisyonu) ne zaman kullanılır?

1. AKalp durması olan bir hastada
2. BGöğüs ağrısı olan bilinçli bir hastada
3. CNormal soluyan bilinci kapalı bir hastada
4. DYalnızca bacak kırığı şüphesi olan bir hastada

What is healing by primary intention?

1. AHealing of a wound whose edges are closed together, such as a sutured incision
2. BHealing of a wound that was left open and closed a few days later
3. CHealing of a wound that needs a skin graft to close
4. DHealing of an open wound that slowly fills with new tissue from its base upwards

What happens in the implementation step of the nursing process?

1. AData about the patient are collected
2. BThe patient's problems are identified
3. CThe planned nursing care is carried out
4. DGoals are written for the first time

Which nursing record entry is the best example of objective documentation?

1. A"Had a good appetite today and enjoyed lunch."
2. B"Seemed to enjoy the meal."
3. C"Ate well, as usual."
4. D"Ate half of lunch; drank 200 mL of water."

A patient is found on the floor beside the bed. What should the nurse do first?

1. AComplete the incident report first, then go back to assess the patient fully
2. BCheck responsiveness and look for injuries before moving them
3. CLift the patient straight back into bed
4. DAsk the patient to stand up on their own

How long should each pass of oropharyngeal or tracheal suction usually last?

1. AAbout one minute
2. BAs long as secretions keep coming
3. CAbout 30–45 seconds
4. DNo more than about 10–15 seconds

During medicines reconciliation, the patient says they take an anticoagulant at home, but it has not been prescribed in hospital. What should the nurse do?

1. AInform the prescriber so the omission can be reviewed
2. BTell the patient to stop it for good
3. CGive the patient's own supply without telling anyone
4. DIgnore it, as the hospital doctor knows best

A patient with a valid DNACPR (DNR) decision, whose death was expected, stops breathing. What should the nurse do?

1. AStart CPR and call the cardiac arrest team
2. BNot start CPR, note the time, inform the team and support the family
3. CStart CPR but stop after five minutes
4. DLeave the patient and ask the family to wait outside until the doctor comes