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What is the usual normal range for serum sodium in adults (in mmol/L, numerically equal to mEq/L)?
A135–145 mmol/L
B95–105 mmol/L
C3,5–5,0 mmol/L
D2,2–2,6 mmol/L
3.Mudah
What is a blood culture used to detect?
ABacteria or fungi in the bloodstream
BThe level of glucose in the blood
CThe number of red cells
DThe patient's blood group
4.Sedang
Saat memberikan insulin, pernyataan mana yang benar?
ARotasi lokasi suntikan untuk mencegah lipohipertrofi
BInsulin kerja cepat hanya diberikan saat tidur
CSelalu menyuntik di titik yang sama agar penyerapan konsisten
DInsulin harus dikocok kuat sebelum dipakai
5.Sedang
During a vesicant chemotherapy infusion, the patient reports burning and swelling at the cannula site. What should the nurse do first?
AStop the infusion straight away and follow the extravasation protocol
BApply a warm pack and continue the infusion
CFlush the cannula hard with saline
DIncrease the rate so that the infusion finishes as quickly as possible
6.Sedang
Which advice is important for a patient on long-term oral corticosteroids?
ADouble the dose if a dose is missed
BTake them on an empty stomach at night
CTake them only when symptoms flare
DDo not stop them suddenly
7.Sulit
Which nursing measure helps reduce raised intracranial pressure?
ARaising the head of the bed to about 30° with the head kept midline
BTilting the patient head-down
CLying the patient flat with the neck flexed forward on two pillows
DFrequent suctioning and encouraging strong coughing
8.Sulit
A patient with suspected appendicitis says the pain suddenly eased, but an hour later has pain all over the abdomen, a rigid abdomen and a fever. What is most likely?
AThe patient has developed gastroenteritis
BThe appendix has perforated, causing peritonitis
CThe analgesia has started working
DThe appendicitis has resolved without treatment
Kunci jawaban
1. C · Situation, Background, Assessment, Recommendation
2. A · 135–145 mmol/L
3. A · Bacteria or fungi in the bloodstream
4. A · Rotasi lokasi suntikan untuk mencegah lipohipertrofi
5. A · Stop the infusion straight away and follow the extravasation protocol
6. D · Do not stop them suddenly
7. A · Raising the head of the bed to about 30° with the head kept midline
8. B · The appendix has perforated, causing peritonitis
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