Lembar kerja Keperawatan klinis dengan jawaban

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

Which blood test is most commonly used to confirm damage to the heart muscle in a suspected heart attack?

1. ATroponin
2. BBilirubin
3. CD-dimer
4. DAmylase

An ileostomy is an opening onto the abdominal wall from the:

1. AIleum (small intestine)
2. BColon (large intestine)
3. CStomach
4. DBladder

A nurse finds a patient lying on the floor beside the bed. What should be done first?

1. APhone the patient's family
2. BLift the patient straight back into bed so they are comfortable
3. CCheck the patient for injuries before moving them
4. DComplete the incident report form

After a total hip replacement through a posterior approach, which movement should the patient usually avoid in the early weeks?

1. ABending the hip beyond 90 degrees or crossing the legs
2. BLying on their back
3. CDoing gentle ankle exercises
4. DWalking short distances with a frame and a physiotherapist

Seorang pasien diabetes tipe 1 muntah dan makan sedikit. Apa saran hari sakit (sick-day rules) yang benar?

1. AKurangi asupan cairan separuh untuk mencegah muntah
2. BPeriksa glukosa hanya sekali sehari
3. CJangan hentikan insulin; periksa glukosa dan keton lebih sering
4. DHentikan insulin sampai bisa makan normal lagi untuk menghindari hipoglikemia

After a head injury, a patient has clear fluid leaking from the nose. What does this most likely suggest?

1. AA base-of-skull fracture with a cerebrospinal fluid leak
2. BAcute sinusitis
3. CAllergic rhinitis triggered by the hospital environment
4. DA normal and harmless response to head trauma

A nurse teaches a patient with reflux disease. Which statement shows a need for further teaching?

1. A"A big meal just before bed is fine if I take my tablet."
2. B"I will cut down on alcohol."
3. C"I will try to lose some weight over the next months."
4. D"I will raise the head of my bed with blocks."