Lembar kerja Keperawatan klinis dengan jawaban

Stress urinary incontinence is leakage of urine:

1. AWhen coughing, sneezing or lifting
2. BOnly during sleep
3. COnly when feeling anxious or upset
4. DCaused by a blocked catheter

Which group of findings suggests fluid overload?

1. AWeight loss, sunken eyes and a dry mouth
2. BSwollen ankles, breathlessness, lung crackles and weight gain
3. CLow jugular venous pressure and cool skin
4. DDry mouth, thirst, dark urine and a rapid weak pulse

The term "oliguria" means:

1. AA low urine output
2. BPainful urination
3. CBlood in the urine
4. DPassing urine at night

What is the recommended first aid for a thermal burn?

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

A nurse gives a patient analgesia for post-operative pain. What should be done next?

1. AWait until the next shift before asking the patient about the pain
2. BReassess the pain and any side effects once the drug has had time to work
3. CGive a second analgesic straight away just in case
4. DAssume the pain has gone if the patient is quiet and has their eyes closed

A patient with dysphagia after a stroke has been cleared for a modified diet. How should they be positioned for meals?

1. ASemi-reclined at about 20 degrees, with the head supported on pillows
2. BLying flat on their back with the head turned to one side
3. CSitting fully upright, and staying upright for a time after eating
4. DLying on their side with the knees bent

Produksi urine seorang pasien sangat rendah selama 12 jam dan kreatinin naik tajam. Obat mana di lembar obat yang paling mungkin perlu ditinjau?

1. ASuplemen vitamin
2. BObat antiinflamasi nonsteroid seperti ibuprofen
3. CParasetamol dalam dosis biasa
4. DKrim emolien

Which feature suggests moisture-associated skin damage rather than a pressure ulcer?

1. ANon-blanching redness directly over the hip bone after lying on one side
2. BA round area of necrosis over the heel
3. CA deep wound over the sacrum with exposed bone and a dark base
4. DDiffuse, superficial redness in a skin fold, not over a bony prominence