Lembar kerja Keperawatan klinis dengan jawaban

Apa tindakan terpenting untuk mencegah luka tekan pada pasien yang terbaring di tempat tidur?

1. AMembatasi cairan
2. BMempertahankan pasien dalam satu posisi sepanjang hari
3. CMemijat area kemerahan dengan kuat
4. DPerubahan posisi secara teratur untuk mengurangi tekanan

What is ascites?

1. AFluid in the pericardial sac
2. BFluid in the knee joint
3. CFluid in the peritoneal cavity
4. DAir under the skin

Why should insulin injection sites be rotated?

1. ATo make the insulin work more slowly and evenly every time
2. BTo stop the insulin from freezing under the skin
3. CBecause insulin causes the skin to bleed if one site is used often
4. DTo prevent lumpy fatty areas that make absorption unpredictable

Pasien dengan hiponatremia harus dipantau secara khusus untuk:

1. AGangguan pendengaran
2. BKebingungan, sakit kepala, dan kejang
3. CRuam merah terang
4. DPertumbuhan rambut berlebih

During a vesicant chemotherapy infusion, the patient reports burning and swelling at the cannula site. What should the nurse do first?

1. AIncrease the rate so that the infusion finishes as quickly as possible
2. BApply a warm pack and continue the infusion
3. CStop the infusion straight away and follow the extravasation protocol
4. DFlush the cannula hard with saline

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

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

A patient with central chest pain has ST elevation on the 12-lead ECG. What is the main aim of urgent treatment?

1. ARestoring blood flow through the blocked coronary artery quickly
2. BStrict bed rest for several days before deciding on treatment
3. CWaiting for the troponin result before taking any action
4. DStarting a cholesterol-lowering drug before any other treatment is given

A patient rescued from a house fire has soot around the mouth, singed nasal hairs and a hoarse voice. What is the main concern?

1. ADehydration from sweating
2. BAirway swelling from inhalation injury
3. CHypothermia from the fire service water
4. DA minor throat infection