Lembar kerja Keperawatan klinis dengan jawaban

Gejala apa yang khas untuk hipoglikemia?

1. ABerkeringat, gemetar, dan bingung
2. BSangat haus dan banyak buang air kecil
3. CKulit hangat dan kering dengan nadi lambat
4. DNapas dalam dan cepat dengan bau napas seperti buah

Berapa skor terendah yang mungkin pada Glasgow Coma Scale?

1. A3
2. B0
3. C1
4. D5

A pneumothorax is:

1. AA blood clot in the lung arteries
2. BAn infection of the lung tissue, usually caused by bacteria
3. CFluid in the alveoli, usually from heart failure
4. DAir in the pleural space, causing the lung to collapse

Why is blood pressure monitored closely in a patient with an epidural infusion?

1. AThe epidural pump uses the blood pressure to set the rate
2. BEpidurals always cause severe hypertension that needs regular treatment
3. CThe local anaesthetic can block sympathetic nerves and cause hypotension
4. DBlood pressure readings show whether the catheter is infected

A nurse suspects that an older patient is being financially abused by a relative. What should the nurse do?

1. AKeep it secret because it is a family matter
2. BConfront the relative directly at the bedside about it
3. CWait until the patient has been discharged
4. DRaise the concern through the local safeguarding (adult protection) procedure

Which measure helps reduce the risk of surgical site infection?

1. AChanging the wound dressing every hour
2. BRemoving hair, if needed, with clippers rather than a razor
3. CShaving the area with a razor the night before surgery
4. DLeaving the patient cool during surgery to slow bacterial growth

A patient took a large paracetamol (acetaminophen) overdose six hours ago and says they feel well. Why is treatment still urgent?

1. AParacetamol overdose causes immediate breathing problems
2. BParacetamol damage only shows up in the kidneys, many weeks later
3. CLiver damage develops later, and the antidote works best when given early
4. DPatients who feel well after six hours never need any treatment at all

Why are liquid medicines for nasogastric tubes drawn up in dedicated enteral (oral) syringes rather than IV syringes?

1. AEnteral syringes measure doses less accurately
2. BIV syringes cannot hold liquid medicines
3. CTo prevent accidental intravenous administration
4. DEnteral syringes keep the medicine sterile