Lembar kerja Keperawatan klinis dengan jawaban

The term "pallor" means:

1. AYellowing of the skin and eyes
2. BBluish fingertips
3. CA red, raised rash
4. DAbnormal paleness of the skin

Pengkajian mana yang harus dilakukan secara teratur setelah anggota gerak dipasangi gips?

1. APengukuran peak flow
2. BTes pendengaran
3. CObservasi neurovaskular anggota gerak di bawah gips
4. DTes ketajaman penglihatan

What is the Visual Infusion Phlebitis (VIP) score used for?

1. AMeasuring the speed and volume of an infusion
2. BChecking blood glucose control
3. CAssessing a cannula site for signs of phlebitis
4. DScoring the patient's pain

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

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

Why are patients with atrial fibrillation often given anticoagulants?

1. ATo reduce the risk of stroke from clots in the atria
2. BTo lower the blood pressure
3. CTo convert the rhythm back to normal
4. DTo slow the heart rate directly and prevent palpitations

What should the nurse regularly check for a patient with a syringe driver?

1. AOnly the patient's weight, measured once a week on the same scales
2. BThe infusion site, the rate and volume remaining, and the patient's symptoms
3. COnly that the battery is charged and the device is switched on
4. DNothing, once the syringe driver is running

A patient due a blood transfusion is not wearing an identity band. What should the nurse do?

1. ANot start until a correct identity band is in place and identity is confirmed
2. BCheck the name on the bed and proceed
3. CAsk another patient to confirm who the patient is
4. DAsk the patient to state their name and date of birth, then start straight away

Which task is most appropriate for a registered nurse to delegate to a trained healthcare assistant (unlicensed assistive personnel)?

1. AGiving a dose of intravenous antibiotic
2. BAssessing a patient who has just reported new chest pain
3. CMeasuring and recording vital signs on a stable patient
4. DTeaching a patient to inject insulin for the first time