Lembar kerja Keperawatan klinis dengan jawaban

How is body mass index (BMI) calculated?

1. AWaist size divided by hip size
2. BHeight in metres divided by weight in kilograms, then squared
3. CWeight in kilograms divided by height in metres squared
4. DWeight in kilograms multiplied by height in metres

If a blood pressure cuff is too small for the patient's arm, the reading will tend to be:

1. AFalsely high
2. BAccurate
3. CFalsely low
4. DImpossible to obtain

Glasgow Coma Scale (GCS) menilai:

1. ARefleks, tonus otot, dan sensasi
2. BUkuran dan reaksi pupil, tekanan darah, dan nadi
3. CMembuka mata, respons verbal, dan respons motorik
4. DNyeri, mual, dan kecemasan

Why is it important to prevent hypothermia during and after surgery?

1. AIt makes the patient wake up too quickly and become agitated in recovery
2. BIt makes the patient's pain disappear
3. CIt causes high blood glucose only
4. DIt increases the risk of wound infection, bleeding and cardiac complications

A patient has lost more than 10% of their body weight without trying over the last few months and has a low BMI. What is the most appropriate action?

1. AWeigh the patient again in six months and review at that point
2. BRestrict fluids to encourage appetite and give a low-protein diet instead
3. CRefer to the dietitian and start a nutrition care plan with food charts
4. DEncourage a low-calorie diet

A patient on peritoneal dialysis notices the drained fluid has become cloudy and has abdominal pain. What is likely?

1. APeritonitis
2. BConstipation
3. CA urinary tract infection
4. DNormal dialysis fluid

An older patient found on the floor after lying there for many hours has dark brown urine and a very high creatine kinase. What is the main risk?

1. AA urinary tract infection from lying in urine
2. BHypoglycaemia
3. CAcute kidney injury from rhabdomyolysis
4. DA stroke

A potassium result of 6,9 mmol/L comes back on a well patient with a normal ECG, and the laboratory reports that the sample was haemolysed. What is the best action?

1. AStart a potassium supplement
2. BRepeat the blood test promptly, as haemolysis can falsely raise potassium
3. CIgnore the result because the patient looks well and the ECG is normal
4. DGive IV insulin and glucose straight away