Lembar kerja Keperawatan klinis dengan jawaban

Which sign is typical of right-sided heart failure?

1. ASwollen ankles and a raised jugular venous pressure
2. BCrackles in both lungs and pink frothy sputum
3. CA high fever with rigors
4. DPinpoint pupils, drowsiness and a slow breathing rate

What is the normal pH range of arterial blood?

1. A7,00–7,10
2. B7,55–7,65
3. C7,35–7,45
4. D6,85–6,95

In which type of fracture does the broken bone break through the skin?

1. AAn open (compound) fracture
2. BA greenstick fracture
3. CA stress fracture
4. DA closed (simple) fracture

Pengkajian mana yang paling baik mendeteksi sindrom kompartemen setelah tungkai yang patah digips?

1. ANadi kuat di kaki
2. BGatal ringan di bawah gips
3. CNyeri yang tidak sebanding dengan cedera, terutama saat diregangkan pasif
4. DKaki hangat dan merah muda

Which technique is correct when suctioning through a tracheostomy?

1. AKeep suctioning for at least a minute each time to clear all the secretions
2. BApply suction continuously while inserting the catheter as far as it will go
3. CSuction every 15 minutes whether or not secretions are present
4. DApply suction only while withdrawing the catheter, for no more than about 10–15 seconds

Long-term amiodarone treatment can affect which of the following?

1. AThyroid function, the lungs and the skin's sensitivity to sunlight
2. BHair colour and nail growth only, with no effect on organs
3. CBlood glucose and cholesterol only
4. DThe sense of smell and taste only, with no other effects

Why is a large pleural effusion drained slowly rather than all at once?

1. AQuick drainage causes the effusion to spread to the other lung
2. BRapid drainage can cause re-expansion pulmonary oedema
3. CFluid drained quickly turns into blood
4. DSlow drainage stops the patient needing oxygen

Which patient should the nurse assess first?

1. AA patient with COPD whose SpO₂ is 89% and within their target range
2. BA patient with asthma who can only speak in single words
3. CA postoperative patient who rates their pain as 6/10
4. DA patient with diabetes whose glucose is 11 mmol/L (198 mg/dL) before lunch