Lembar kerja Keperawatan klinis dengan jawaban

Apa kepanjangan SBAR dalam serah terima klinis?

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

In acute appendicitis, where does the pain classically start and where does it move to?

1. AIt starts in the left shoulder and moves to the back
2. BIt starts in the left lower abdomen and stays there
3. CIt starts around the umbilicus and moves to the right lower abdomen
4. DIt starts in the right upper abdomen and moves up to the centre of the chest

Which type of diabetes is mainly caused by autoimmune destruction of the insulin-producing beta cells?

1. AType 1 diabetes
2. BGestational diabetes
3. CDiabetes insipidus
4. DType 2 diabetes

What should the nurse regularly check for a patient with a syringe driver?

1. ANothing, once the syringe driver is running
2. BOnly that the battery is charged and the device is switched on
3. CThe infusion site, the rate and volume remaining, and the patient's symptoms
4. DOnly the patient's weight, measured once a week on the same scales

A patient has a fentanyl patch for chronic pain. Which advice is correct?

1. AApply the patch to broken skin for faster effect
2. BAvoid heat sources such as hot water bottles over the patch
3. CKeep using the old patch with the new one
4. DCut the patch in half if the pain improves, to lower the dose

A patient is prescribed two different eye drops at the same time. What is correct?

1. AMix the two drops in one bottle
2. BGive both drops at once into the same eye
3. CGive one drop now and the other the next day
4. DWait about five minutes between the two drops

A day after surgery, a patient's haemoglobin has fallen from 125 g/L to 85 g/L (12,5 to 8,5 g/dL) and their heart rate has risen to 118/min. What is the priority?

1. ADocument the result and take no further action
2. BEscalate urgently, as the patient may be bleeding
3. CEncourage the patient to eat iron-rich foods
4. DRecheck the haemoglobin next week

A patient with full mental capacity decides against a treatment that the team thinks is best. What does the Mental Capacity Act 2005 (England and Wales) say?

1. AA person is not treated as lacking capacity just because they make an unwise decision
2. BThe patient must be assessed by a psychiatrist before refusing
3. CThe team may override any decision that it disagrees with if it is serious
4. DThe family may make the decision instead if they disagree with the patient's choice