Lembar kerja Keperawatan klinis dengan jawaban

Area kemerahan yang tidak memucat saat ditekan pada kulit utuh di atas sakrum diklasifikasikan sebagai kategori luka tekan yang mana?

1. AKategori 3
2. BKategori 4
3. CKategori 2
4. DKategori 1

Pain from gallstones (biliary colic) is typically felt in which area?

1. AThe right upper abdomen, often after a fatty meal
2. BThe lower back on the left, when walking
3. CThe left lower abdomen, usually after drinking water
4. DBehind the left knee

The term "dyspnoea" means:

1. ANoisy breathing during sleep
2. BA cough with sputum
3. CChest pain on breathing
4. DBreathlessness

Lembar keseimbangan cairan seorang pasien menunjukkan asupan 1,200 mL dan haluaran 2,300 mL selama 24 jam. Apa yang ditunjukkan hal ini?

1. AKeseimbangan cairan positif 3,500 mL
2. BStatus cairan seimbang
3. CKeseimbangan cairan positif 1,100 mL
4. DKeseimbangan cairan negatif 1,100 mL

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 lansia berisiko tinggi jatuh di bangsal. Tindakan keperawatan mana yang paling tepat?

1. ALepaskan kacamata pasien agar tidak pecah
2. BLetakkan bel panggil dan barang pribadi dalam jangkauan serta tinjau obat yang menyebabkan kantuk
3. CBatasi pasien di tempat tidur sepanjang waktu
4. DGunakan pagar tempat tidur untuk setiap pasien secara otomatis

An acutely ill patient without COPD is on 15 L/min oxygen, and their SpO₂ is now 100% and stable. What should be done?

1. AKeep the oxygen at 15 L/min for at least a week to be on the safe side
2. BIncrease the oxygen further to build up a reserve
3. CStop the oxygen and the saturation monitoring because the patient is now well
4. DReduce the oxygen to keep the SpO₂ within the prescribed target range

A patient who speaks little English needs to give consent for a procedure. Their 14-year-old child offers to interpret. What is the best action?

1. AUse gestures and proceed
2. BAsk the patient to sign the form without explanation
3. CLet the child interpret to save time
4. DArrange a professional interpreter