Lembar kerja Keperawatan klinis dengan jawaban

What is a blood culture used to detect?

1. AThe number of red cells
2. BThe level of glucose in the blood
3. CThe patient's blood group
4. DBacteria or fungi in the bloodstream

Tanda mana yang menunjukkan flebitis di lokasi kanula intravena?

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

Glasgow Coma Scale (GCS) menilai:

1. AUkuran dan reaksi pupil, tekanan darah, dan nadi
2. BNyeri, mual, dan kecemasan
3. CMembuka mata, respons verbal, dan respons motorik
4. DRefleks, tonus otot, dan sensasi

Compared with a colostomy, a patient with an ileostomy is at greater risk of:

1. ADehydration and electrolyte loss from liquid output
2. BHard stools, straining and constipation from slow transit
3. CLow blood glucose after meals
4. DUrinary retention

What is the recommended first aid for a thermal burn?

1. ASpread butter or oil over the burn
2. BBurst any blisters to release the fluid
3. CCool it under cool running water for about 20 minutes
4. DApply ice directly to the burn until the pain stops completely

Gangguan elektrolit mana yang paling berbahaya bagi irama jantung?

1. AKlorida tinggi
2. BNatrium rendah
3. CKalium tinggi atau rendah
4. DFosfat rendah

During CPR for asystole, when should adrenaline (epinephrine) be given according to standard adult guidelines?

1. ANever, because asystole is not treated with drugs
2. BOnly once the patient has a pulse again
3. CAs soon as IV or IO access is obtained, then every 3–5 minutes
4. DOnly after three shocks have been delivered by the defibrillator

Tak lama setelah transfusi dimulai, seorang pasien menjadi sesak napas, mengi, dan hipotensi disertai pembengkakan wajah. Apa yang harus dilakukan perawat terlebih dahulu?

1. ABerikan parasetamol dan antihistamin lalu lanjutkan transfusi
2. BHentikan transfusi, pertahankan akses IV, dan panggil bantuan segera
3. CHabiskan unit dengan cepat agar waktu paparan sesingkat mungkin
4. DPerlambat laju transfusi dan periksa ulang observasi dalam satu jam