Lembar kerja Keperawatan klinis dengan jawaban

Apa kepanjangan SBAR dalam serah terima klinis?

1. ASummary, Bedside, Action, Review
2. BSafety, Breathing, Alertness, Risk
3. CSymptoms, Blood pressure, Airway, Respiratory rate
4. DSituation, Background, Assessment, Recommendation

When removing personal protective equipment after patient care, which item is usually removed first?

1. AGloves
2. BFace mask
3. CHair cover
4. DEye protection

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

1. AMeasuring the speed and volume of an infusion
2. BAssessing a cannula site for signs of phlebitis
3. CScoring the patient's pain
4. DChecking blood glucose control

After a total hip replacement through a posterior approach, which movement should the patient usually avoid in the early weeks?

1. AWalking short distances with a frame and a physiotherapist
2. BLying on their back
3. CBending the hip beyond 90 degrees or crossing the legs
4. DDoing gentle ankle exercises

A pressure ulcer shows full-thickness tissue loss with exposed bone. Which category (stage) is this?

1. ACategory 1
2. BCategory 3
3. CCategory 2
4. DCategory 4

How does ulcerative colitis differ from Crohn's disease?

1. AUlcerative colitis typically causes patchy "skip" lesions
2. BUlcerative colitis always affects the full thickness of the bowel wall
3. CUlcerative colitis can affect any part of the gut from mouth to anus
4. DUlcerative colitis affects only the colon, continuously from the rectum

Which finding suggests hypocalcaemia?

1. AA slow, irregular pulse with nausea and yellow-tinged vision
2. BSpasm of the hand when a blood pressure cuff is inflated on the arm
3. CSevere thirst with a large urine output and constipation
4. DA flapping tremor of the outstretched hands

Seorang pasien menjelang ajal memiliki napas berbunyi berderak akibat sekret di tenggorokan dan tidak sadar. Pendekatan mana yang tepat?

1. ABeri tahu keluarga bahwa pasien tercekik dan memerlukan ventilasi
2. BMulai pengisapan orofaring dalam setiap 10 menit sepanjang malam
3. CMulai cairan intravena cepat untuk mengencerkan dan membersihkan sekret
4. DUbah posisi, pertimbangkan obat antisekretori yang diresepkan, dan dukung keluarga