Lembar kerja Keperawatan klinis dengan jawaban

What is the Visual Infusion Phlebitis (VIP) score used for?

1. AScoring the patient's pain
2. BMeasuring the speed and volume of an infusion
3. CChecking blood glucose control
4. DAssessing a cannula site for signs of phlebitis

Pain from gallstones (biliary colic) is typically felt in which area?

1. AThe left lower abdomen, usually after drinking water
2. BThe lower back on the left, when walking
3. CBehind the left knee
4. DThe right upper abdomen, often after a fatty meal

Which description is typical of neuropathic pain?

1. AA pain that only occurs after meals
2. BA sharp pain only when the skin is cut
3. CA dull ache that is only present during exercise
4. DBurning, shooting or tingling pain

Why is continuous bladder irrigation used after a transurethral resection of the prostate (TURP)?

1. ATo give antibiotics directly into the kidneys
2. BTo measure the patient's kidney function
3. CTo stretch the bladder back to its normal size
4. DTo stop blood clots from blocking the catheter

Stoma kolostomi yang baru tampak ungu tua hingga hitam pada hari kedua pascaoperasi. Apa yang ditunjukkan hal ini?

1. AKonstipasi
2. BKemungkinan iskemia stoma, yang memerlukan evaluasi segera
3. CStoma normal yang sehat
4. DMemar pascaoperasi normal pada stoma yang tidak memerlukan tindakan

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. BPhone the patient's family
3. CCheck the patient for injuries before moving them
4. DComplete the incident report form

Which nursing measure helps reduce raised intracranial pressure?

1. AFrequent suctioning and encouraging strong coughing
2. BRaising the head of the bed to about 30° with the head kept midline
3. CTilting the patient head-down
4. DLying the patient flat with the neck flexed forward on two pillows

Why is a patient kept under observation for several hours after successful treatment of anaphylaxis?

1. AAdrenaline always causes a heart attack hours later
2. BAntihistamines cause dangerous drowsiness for 24 hours
3. CSymptoms can return later in a biphasic reaction
4. DThe patient must stay until all allergy tests are complete