Lembar kerja Keperawatan klinis dengan jawaban

A DNACPR (do not attempt CPR; often called DNR or DNAR in the US) decision means that:

1. ACPR will not be attempted if the heart stops, but other care continues
2. BThe patient cannot receive antibiotics, fluids or any other active treatment
3. CAll treatment, including food, drink and pain relief, is stopped
4. DThe patient must be moved to a hospice

Stoking kompresi bertingkat dan mobilisasi dini setelah operasi terutama digunakan untuk mencegah:

1. AInfeksi luka
2. BHanya luka tekan di tumit
3. CRetensi urine
4. DTromboemboli vena

In palliative care, a syringe driver is used to:

1. AMeasure blood glucose continuously
2. BGive a continuous subcutaneous infusion of medicines, often over 24 hours
3. CDrain fluid from the lungs
4. DGive a single fast intravenous injection when symptoms flare up suddenly

What should a patient be told before using sublingual glyceryl trinitrate (GTN, nitroglycerin) spray for angina?

1. ATake it with a large glass of milk to protect the stomach lining
2. BSwallow the spray rather than leaving it under the tongue
3. CUse it only after the pain has lasted over an hour, with the patient lying flat
4. DSit down before using it, as it can cause dizziness and low blood pressure

Which measure helps prevent delirium in older inpatients?

1. AMoving the patient to a different bed each night to give them a change of scene
2. BRestricting fluids to avoid incontinence
3. CKeeping the lights on all night
4. DReorientation, glasses and hearing aids in use, and good sleep and hydration

Which features suggest Cushing's syndrome?

1. AWeight gain around the trunk, a rounded face and thin, easily bruised skin
2. BWeight loss, heat intolerance, tremor and protruding eyes
3. CCoarse facial features and very large hands and feet
4. DDark skin, low blood pressure, salt craving and a low blood sodium level

A patient took a large paracetamol (acetaminophen) overdose six hours ago and says they feel well. Why is treatment still urgent?

1. AParacetamol overdose causes immediate breathing problems
2. BPatients who feel well after six hours never need any treatment at all
3. CLiver damage develops later, and the antidote works best when given early
4. DParacetamol damage only shows up in the kidneys, many weeks later

Seorang pasien pascaoperasi memiliki denyut jantung 115/menit, suhu 38,6 °C, frekuensi napas 26/menit, dan tekanan darah 85/50 mmHg meskipun telah diberi bolus cairan. Apa yang paling mungkin ditunjukkan hal ini?

1. AHanya dehidrasi ringan
2. BRespons inflamasi normal pada beberapa hari pertama setelah operasi
3. CSyok septik yang memerlukan evaluasi perawatan kritis segera
4. DKecemasan menjelang pemulangan