Lembar kerja Keperawatan klinis dengan jawaban

When monitoring fluid balance, a rapid gain of 1 kg in body weight roughly equals:

1. A10 mL of retained fluid
2. B100 mL of retained fluid
3. C5 litres of retained fluid
4. D1 litre of retained fluid

Before moving or handling a patient, what should the nurse do first?

1. AAsk the patient's relative to help lift them to save time
2. BAssess the risks and choose the right equipment and number of staff
3. CLift the patient quickly before they become tired or anxious
4. DBend at the waist and keep the knees straight

Item manakah yang termasuk bundel "Sepsis Six"?

1. AMemberikan laksatif
2. BMengambil kultur darah
3. CMemulai fisioterapi
4. DMengatur pemulangan pasien

Which pattern is typical of relapsing–remitting multiple sclerosis?

1. AConstant weakness that starts in the feet and spreads upwards after a viral illness
2. BA single stroke that leaves permanent weakness
3. CSudden severe headache with neck stiffness
4. DAttacks of symptoms, such as visual loss or numbness, that improve between relapses

Why is an ankle–brachial pressure index (ABPI) measured before applying compression bandages to a leg ulcer?

1. ATo check for a urinary tract infection that could delay ulcer healing
2. BTo measure how deep the ulcer is and how much exudate it produces
3. CTo exclude significant arterial disease, as compression could cut off blood flow
4. DTo work out the patient's fluid needs

Which of these is one of the "4 Hs", the reversible causes of cardiac arrest?

1. AHyperthyroidism
2. BHypertension
3. CHyperventilation
4. DHypoxia

Pasien lansia tiba-tiba bingung semalaman dengan perhatian yang naik turun. Penyebab apa yang paling perlu diselidiki lebih dulu?

1. ADelirium akibat masalah yang mendasari seperti infeksi atau obat
2. BAwitan mendadak penyakit Alzheimer
3. CKurang minat terhadap lingkungan
4. DPenuaan normal

During a blood transfusion, an older patient with heart failure becomes breathless with a rising blood pressure, raised JVP and crackles in the lungs. What is the most likely cause?

1. AAnaphylaxis
2. BTransfusion-associated circulatory overload
3. CTransfusion-related acute lung injury with hypotension
4. DA febrile non-haemolytic reaction