Lembar kerja Keperawatan klinis dengan jawaban

Stridor, a harsh noise heard mainly on breathing in, is a sign of:

1. ANormal breathing during sleep
2. BMild constipation
3. CNarrowing or obstruction of the upper airway
4. DFluid collecting in the bases of both lungs

Hepatitis A is mainly spread by:

1. AMosquito bites
2. BSexual contact only
3. CThe faecal–oral route
4. DBlood transfusion

Skala nyeri apa yang sering digunakan untuk orang dewasa yang dapat berkomunikasi?

1. ASkala penilaian numerik 0–10
2. BGlasgow Coma Scale
3. CSkala luka tekan Braden
4. DSkor Apgar

Seorang pasien gagal jantung naik berat badan 2 kg dalam dua hari. Apa artinya yang paling mungkin?

1. ADehidrasi
2. BRetensi cairan
3. CPengobatan berhasil
4. DBertambahnya massa otot

Which measure helps prevent delirium in older inpatients?

1. AMoving the patient to a different bed each night to give them a change of scene
2. BKeeping the lights on all night
3. CReorientation, glasses and hearing aids in use, and good sleep and hydration
4. DRestricting fluids to avoid incontinence

Which measure helps reduce the risk of surgical site infection?

1. AShaving the area with a razor the night before surgery
2. BLeaving the patient cool during surgery to slow bacterial growth
3. CChanging the wound dressing every hour
4. DRemoving hair, if needed, with clippers rather than a razor

An older patient with delirium is trying to leave the ward at night, saying he must go home. What is the best initial approach?

1. ALet him leave, because adults can always do as they wish whatever their state
2. BCalmly reassure and redirect him while the team assesses his capacity and safety
3. CGive a sedative straight away without a prescription
4. DPhysically restrain him in bed until the morning so that he cannot fall

A patient with metastatic breast cancer is confused and constipated, with a corrected calcium of 3,3 mmol/L (about 13,2 mg/dL). What is usually the first treatment?

1. AOral calcium supplements and vitamin D
2. BA high-calcium diet
3. CIV fluid rehydration, followed by a bisphosphonate
4. DStrict fluid restriction to protect the kidneys