Lembar kerja Keperawatan klinis dengan jawaban

Posisi selang nasogastrik umumnya dikonfirmasi di samping tempat tidur dengan:

1. AMemasukkan ujung selang ke dalam segelas air
2. BMeminta pasien batuk
3. CMenguji pH cairan aspirasi
4. DMendengarkan udara dengan stetoskop ("whoosh test")

When removing personal protective equipment after patient care, which item is usually removed first?

1. AGloves
2. BEye protection
3. CHair cover
4. DFace mask

Gout is caused by:

1. AWear and tear of the joint cartilage
2. BA lack of calcium in the diet
3. CA bacterial infection of the bone
4. DUric acid crystals forming in a joint

How does ulcerative colitis differ from Crohn's disease?

1. AUlcerative colitis always affects the full thickness of the bowel wall
2. BUlcerative colitis affects only the colon, continuously from the rectum
3. CUlcerative colitis can affect any part of the gut from mouth to anus
4. DUlcerative colitis typically causes patchy "skip" lesions

A patient is receiving enteral feeding through a nasogastric tube. How should they be positioned during feeding?

1. AWith the head of the bed raised to at least 30 degrees
2. BLying completely flat
3. CLying on the left side with the head down to help the feed drain
4. DIn any position, as long as the feed runs slowly

Pasien diabetes tipe 1 memiliki glukosa darah 25 mmol/L, napas dalam dan cepat, serta keton dalam urine. Apa diagnosis yang mungkin?

1. AKetoasidosis diabetik
2. BHipoglikemia
3. CKeadaan hiperosmolar hiperglikemik tanpa keton
4. DFluktuasi glukosa normal

An adult with capacity refuses a blood transfusion for religious reasons, even though it may save their life. What should the nurse do?

1. ARespect the refusal, check it is informed and document it, and inform the team
2. BAsk a family member to consent instead
3. CSedate the patient so the transfusion can be given
4. DGive the transfusion while the patient is asleep, as it is in their best interests

A seriously ill patient asks the nurse, "Am I dying?" What is the best initial response?

1. ATell the patient not to think about such things and to stay positive
2. BLeave and send the doctor without saying anything
3. CGently explore what the patient understands and what has prompted the question
4. DChange the subject quickly to keep them cheerful and avoid upsetting them