Lembar kerja Keperawatan klinis dengan jawaban

Seasonal influenza is mainly spread by:

1. ARespiratory droplets and contaminated hands or surfaces
2. BBlood transfusions and contaminated needles
3. CContaminated food only
4. DMosquito and other insect bites in warm weather

What is the recommended ratio of chest compressions to rescue breaths in adult CPR?

1. A30 compressions to 2 breaths
2. B10 compressions to 1 breath
3. C5 compressions to 1 breath
4. D15 compressions to 2 breaths

Which haemoglobin result in an adult man would be classed as anaemia?

1. A95 g/L (9,5 g/dL)
2. B155 g/L (15,5 g/dL)
3. C165 g/L (16,5 g/dL)
4. D140 g/L (14,0 g/dL)

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

1. AFlush the cannula hard with saline
2. BStop the infusion straight away and follow the extravasation protocol
3. CApply a warm pack and continue the infusion
4. DIncrease the rate so that the infusion finishes as quickly as possible

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

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

Seorang pasien diabetes yang tidak sadar memiliki glukosa darah 2,1 mmol/L dan tidak ada akses IV. Apa yang dapat diberikan?

1. AInsulin subkutan
2. BGlukagon intramuskular
3. CJus buah lewat mulut
4. DTablet glukosa lewat mulut

A nurse phones a doctor about a deteriorating patient using SBAR. Which statement belongs in the "R" section?

1. A"I am calling about Mr Smith, who is breathless."
2. B"Please review him within the next 15 minutes."
3. C"His blood pressure is 85/50 and he is confused."
4. D"He was admitted three days ago with pneumonia."

Why is a patient kept under observation for several hours after successful treatment of anaphylaxis?

1. ASymptoms can return later in a biphasic reaction
2. BAntihistamines cause dangerous drowsiness for 24 hours
3. CThe patient must stay until all allergy tests are complete
4. DAdrenaline always causes a heart attack hours later