Lembar kerja Keperawatan klinis dengan jawaban

Skala nyeri apa yang sering digunakan untuk orang dewasa yang dapat berkomunikasi?

1. ASkala luka tekan Braden
2. BSkala penilaian numerik 0–10
3. CSkor Apgar
4. DGlasgow Coma Scale

On an ECG, what does the P wave represent?

1. AAtrial depolarisation
2. BVentricular depolarisation
3. CVentricular repolarisation
4. DClosure of the heart valves

Apa tanda awal stroke yang umum?

1. AWajah tiba-tiba mencong atau lengan lemah di satu sisi
2. BDemam dengan batuk berdahak
3. CKehilangan ingatan bertahap yang berkembang selama beberapa tahun
4. DKulit gatal di kedua lengan

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

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

Which group of features is typical of nephrotic syndrome?

1. APolyuria, thirst and weight loss
2. BSevere loin pain and fever
3. CHeavy proteinuria, low serum albumin and oedema
4. DBlood in the urine, high blood pressure and reduced urine output only

After a laparoscopic cholecystectomy, a patient has pain in the shoulder tip. What is the most likely cause?

1. AAn allergic reaction to the dressing
2. BA broken collarbone from being moved onto the table
3. CGas used during the operation irritating the diaphragm
4. DA heart attack caused by the stress of surgery

Seorang pasien yang diduga meningitis mengalami demam, kaku kuduk, dan ruam yang tidak memucat saat ditekan. Apa prioritasnya?

1. AMenunggu hasil pungsi lumbal sebelum memulai pengobatan apa pun
2. BMeredupkan lampu, menganjurkan istirahat, dan memeriksa ulang observasi dalam empat jam
3. CMemberikan parasetamol untuk demam dan mengevaluasi pasien besok
4. DEvaluasi segera dan antibiotik segera, tanpa menunggu hasil pemeriksaan

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. BIgnore the result because the patient looks well and the ECG is normal
3. CStart a potassium supplement
4. DGive IV insulin and glucose straight away