Lembar kerja Keperawatan klinis dengan jawaban

The MUST tool is used to screen adults for:

1. ARisk of falls
2. BPressure ulcer risk
3. CDepression
4. DMalnutrition

Alat mana yang digunakan untuk menilai risiko pasien mengalami luka tekan?

1. ASkala Braden atau Waterlow
2. BGlasgow Coma Scale
3. CMini-Mental State Examination
4. DSkor Apgar

Apa kepanjangan SBAR dalam serah terima klinis?

1. ASituation, Background, Assessment, Recommendation
2. BSymptoms, Blood pressure, Airway, Respiratory rate
3. CSafety, Breathing, Alertness, Risk
4. DSummary, Bedside, Action, Review

Which is a recognised risk factor for postoperative nausea and vomiting?

1. AA short operation under local anaesthetic
2. BBeing male
3. CBeing a smoker
4. DUse of opioids after surgery

For a patient in skin traction on the leg, which is correct?

1. AThe weights rest on the floor overnight
2. BThe weights hang freely and do not rest on the bed or floor
3. CThe rope is tied to the bed frame to keep it still
4. DThe weights are removed whenever the patient feels uncomfortable

Seorang pasien di bangsal mengalami mengi dan sesak napas setelah dosis pertama penyekat beta. Riwayat mana yang membuat hal ini paling mungkin?

1. AAsma
2. BOsteoartritis
3. CMigrain
4. DHipotiroidisme

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

A patient with diabetes is found confused with slurred speech and weakness on one side. What should the nurse check first?

1. ASerum cholesterol
2. BBody mass index
3. CUrine output for the last day
4. DCapillary blood glucose