Lembar kerja Keperawatan klinis dengan jawaban

Which sign is typical of right-sided heart failure?

1. ASwollen ankles and a raised jugular venous pressure
2. BA high fever with rigors
3. CPinpoint pupils, drowsiness and a slow breathing rate
4. DCrackles in both lungs and pink frothy sputum

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

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

Tanda mana yang menunjukkan flebitis di lokasi kanula intravena?

1. APasien merasa haus
2. BKulit pucat dan dingin jauh dari lokasi
3. CKulit normal tanpa nyeri
4. DKemerahan, nyeri, dan bengkak di sepanjang vena

A patient on insulin reports nightmares, night sweats and morning headaches. What should be suspected?

1. ARaised intracranial pressure
2. BA urinary tract infection
3. CNight-time hypoglycaemia
4. DHyperthyroidism

A patient's low potassium does not improve despite potassium replacement. Which other electrolyte should be checked?

1. ASodium
2. BMagnesium
3. CChloride
4. DPhosphate

A confused patient keeps trying to climb out of bed. Why are bed rails not automatically the answer?

1. APatients can be seriously injured climbing over or becoming trapped in rails
2. BBed rails stop staff from taking observations
3. CBed rails are illegal in all hospitals and must never be used at all
4. DBed rails always make patients more confused, but only during the day

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

1. AUrine output for the last day
2. BCapillary blood glucose
3. CSerum cholesterol
4. DBody mass index

A patient with stress incontinence is taught self-care. Which statement shows a need for further teaching?

1. A"I'll try to lose some weight if I can."
2. B"I'll do my pelvic floor exercises every day."
3. C"I'll cut down on caffeine."
4. D"I'll drink as little as possible so I don't leak."