Lembar kerja Keperawatan klinis dengan jawaban

The term "hypovolaemia" means:

1. AToo much fluid in the circulation
2. BA low volume of blood or fluid in the circulation
3. CA low level of oxygen in the blood
4. DA high level of potassium in the circulating blood

Produksi urine seorang pasien sedang dipantau. Produksi minimum per jam mana yang lazim digunakan sebagai target pada orang dewasa?

1. ASekitar 0,05 mL per kg per jam
2. BSekitar 5 mL per kg per jam
3. CSekitar 0,5 mL per kg berat badan per jam
4. DBerapa pun, asalkan ada urine yang keluar setiap hari

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

1. ADehidrasi
2. BToksisitas opioid
3. CHanya peningkatan tekanan intrakranial
4. DHipoglikemia

Selama infus IV, area di sekitar kanula menjadi bengkak, dingin, dan pucat, dan tetesan infus melambat. Apa yang mungkin terjadi?

1. AEmboli udara
2. BKelebihan cairan dalam sirkulasi
3. CFlebitis akibat infeksi bakteri pada dinding vena
4. DInfiltrasi cairan ke jaringan sekitar

What should the nurse regularly check for a patient with a syringe driver?

1. AOnly that the battery is charged and the device is switched on
2. BNothing, once the syringe driver is running
3. CThe infusion site, the rate and volume remaining, and the patient's symptoms
4. DOnly the patient's weight, measured once a week on the same scales

Which group of symptoms suggests hypercalcaemia?

1. AThirst, constipation, confusion and abdominal pain
2. BSweating, tremor and sudden hunger
3. CWeight gain, feeling cold and a slow pulse
4. DTingling lips, muscle cramps and spasms of the hands and feet

A patient admitted after a fall takes many regular medicines. Which safety step on admission helps prevent medication errors?

1. APrescribing only the medicines that the patient can remember taking
2. BStopping all regular medicines until the day the patient is discharged
3. CDoubling the doses to make up for any missed while at home
4. DMedicines reconciliation against reliable sources, such as primary care records

Which route and site are recommended for the first dose of adrenaline (epinephrine) in anaphylaxis on a ward?

1. AIntramuscular injection into the anterolateral thigh
2. BIntravenous bolus given by the nurse without monitoring
3. CSubcutaneous injection into the upper arm
4. DOral tablet dissolved under the tongue