Lembar kerja Keperawatan klinis dengan jawaban

Stridor, a harsh noise heard mainly on breathing in, is a sign of:

1. AFluid collecting in the bases of both lungs
2. BNormal breathing during sleep
3. CMild constipation
4. DNarrowing or obstruction of the upper airway

Rule of nines memperkirakan:

1. AKedalaman luka bakar, diukur dalam milimeter kulit
2. BJumlah napas per menit
3. CCairan yang hilang akibat muntah
4. DPersentase luas permukaan tubuh yang terkena luka bakar

A pneumothorax is:

1. AA blood clot in the lung arteries
2. BFluid in the alveoli, usually from heart failure
3. CAir in the pleural space, causing the lung to collapse
4. DAn infection of the lung tissue, usually caused by bacteria

Which oxygen device delivers a precise, fixed concentration of oxygen?

1. ANon-rebreathe mask
2. BSimple face mask
3. CVenturi mask
4. DNasal cannula

Seorang pasien setelah kecelakaan lalu lintas mengalami sesak napas berat, suara napas tidak terdengar di satu sisi, tekanan darah rendah, dan trakea bergeser ke sisi lain. Apa diagnosis yang mungkin?

1. ATension pneumothorax
2. BEdema paru
3. CAsma
4. DPneumonia

When is a rapid-acting insulin such as insulin aspart usually given?

1. AJust before or with a meal
2. BOnly at bedtime
3. COnce a week
4. DTwo hours after finishing a meal

Seorang pasien cedera kepala memiliki GCS yang turun dari 14 menjadi 10, dan satu pupil menjadi lebih besar serta lambat bereaksi. Apa yang harus dilakukan perawat?

1. APeriksa ulang GCS pada putaran observasi rutin berikutnya
2. BBerikan sedatif untuk menenangkan pasien
3. CAnjurkan pasien untuk tidur
4. DSegera lakukan eskalasi sebagai kegawatdaruratan neurologis

An adult with capacity refuses a blood transfusion for religious reasons, even though it may save their life. What should the nurse do?

1. ASedate the patient so the transfusion can be given
2. BAsk a family member to consent instead
3. CRespect the refusal, check it is informed and document it, and inform the team
4. DGive the transfusion while the patient is asleep, as it is in their best interests