Lembar kerja Keperawatan klinis dengan jawaban

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

1. AMild constipation
2. BFluid collecting in the bases of both lungs
3. CNarrowing or obstruction of the upper airway
4. DNormal breathing during sleep

Which group of findings suggests fluid overload?

1. ADry mouth, thirst, dark urine and a rapid weak pulse
2. BWeight loss, sunken eyes and a dry mouth
3. CSwollen ankles, breathlessness, lung crackles and weight gain
4. DLow jugular venous pressure and cool skin

What is a typical SpO₂ in a healthy adult at rest breathing room air?

1. AAbout 60–70%
2. BAbout 75–80%
3. CAbout 85–88%
4. DAbout 95–100%

A dying patient can no longer drink and has a dry mouth. What is the most appropriate nursing care?

1. AFrequent mouth care that keeps the lips and mouth moist
2. BInserting a nasogastric tube for fluids
3. CStarting a fast intravenous infusion to correct the dryness
4. DLeaving the mouth alone to avoid disturbing them

Which blood result often rises in an upper GI bleed because blood is digested in the gut?

1. ASodium
2. BGlucose
3. CUrea (blood urea nitrogen)
4. DCalcium

Seorang pasien diabetes tipe 1 muntah dan makan sedikit. Apa saran hari sakit (sick-day rules) yang benar?

1. AKurangi asupan cairan separuh untuk mencegah muntah
2. BJangan hentikan insulin; periksa glukosa dan keton lebih sering
3. CHentikan insulin sampai bisa makan normal lagi untuk menghindari hipoglikemia
4. DPeriksa glukosa hanya sekali sehari

Seorang pasien yang menerima makanan enteral melalui selang setelah lama kelaparan mengalami fosfat rendah, kalium rendah, dan aritmia. Apa yang paling mungkin?

1. ASindrom refeeding
2. BKetoasidosis diabetik
3. CSindrom dumping
4. DHipertiroidisme

Seorang pasien mual dan muntah selama tiga hari dan mengonsumsi furosemid. Gangguan elektrolit apa yang paling mungkin?

1. AHiperkalsemia
2. BHanya hipernatremia
3. CHiperkalemia
4. DHipokalemia