Lembar kerja Keperawatan klinis dengan jawaban

Temuan mana yang khas untuk infeksi saluran kemih?

1. ABengkak pada kedua pergelangan kaki dan tungkai bawah
2. BRasa terbakar saat berkemih dan sering berkemih
3. CTelinga berdenging
4. DTinja hitam

Pupil pinpoint, napas lambat, dan mengantuk setelah operasi paling mungkin menunjukkan:

1. AHanya peningkatan tekanan intrakranial
2. BToksisitas opioid
3. CDehidrasi
4. DHipoglikemia

In which type of fracture does the broken bone break through the skin?

1. AAn open (compound) fracture
2. BA closed (simple) fracture
3. CA greenstick fracture
4. DA stress fracture

Why are older adults at higher risk of dehydration?

1. AThey always drink large amounts of tea
2. BTheir kidneys hold on to too much water
3. CTheir sense of thirst is often reduced
4. DTheir body water content increases with age

A nurse finds a patient lying on the floor beside the bed. What should be done first?

1. ALift the patient straight back into bed so they are comfortable
2. BComplete the incident report form
3. CCheck the patient for injuries before moving them
4. DPhone the patient's family

What is one advantage of a direct oral anticoagulant (DOAC) such as apixaban compared with warfarin?

1. AIt has no risk of bleeding
2. BIt does not need routine INR monitoring
3. CIt is safe in all patients with severe kidney failure
4. DIt never interacts with other drugs

A conscious patient with hypoglycaemia was given fast-acting carbohydrate. On re-check 15 minutes later the blood glucose is 3,6 mmol/L (65 mg/dL). What should the nurse do next?

1. AGive another dose of fast-acting carbohydrate and recheck
2. BGive a dose of subcutaneous insulin
3. CTake no action because the level is rising
4. DGive a long-acting carbohydrate snack only and recheck tomorrow

A few hours after cardiac surgery, a patient has low blood pressure, a raised jugular venous pressure and quiet, muffled heart sounds. What should be suspected?

1. APneumonia
2. BCardiac tamponade
3. CHyperkalaemia
4. DHypovolaemia from dehydration