Lembar kerja Keperawatan klinis dengan jawaban

How should nursing records be written?

1. AIn pencil so that mistakes can be rubbed out
2. BUsing personal abbreviations that only the nurse who wrote them understands
3. CAccurately and as soon as possible after the event, with date, time and signature
4. DAt the end of the week, written from memory in one go to save time

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. CPinpoint pupils, drowsiness and a slow breathing rate
4. DA high fever with rigors

Rule of nines memperkirakan:

1. APersentase luas permukaan tubuh yang terkena luka bakar
2. BCairan yang hilang akibat muntah
3. CJumlah napas per menit
4. DKedalaman luka bakar, diukur dalam milimeter kulit

Sebelum memberikan penyekat beta (beta-blocker), observasi mana yang paling penting untuk diperiksa?

1. AHanya suhu
2. BDenyut jantung dan tekanan darah
3. CBuang air besar
4. DHanya glukosa darah

After a laparoscopic cholecystectomy, a patient has pain in the shoulder tip. What is the most likely cause?

1. AGas used during the operation irritating the diaphragm
2. BA heart attack caused by the stress of surgery
3. CA broken collarbone from being moved onto the table
4. DAn allergic reaction to the dressing

For a patient in skin traction on the leg, which is correct?

1. AThe weights hang freely and do not rest on the bed or floor
2. BThe weights rest on the floor overnight
3. CThe rope is tied to the bed frame to keep it still
4. DThe weights are removed whenever the patient feels uncomfortable

A patient with a COPD exacerbation remains acidotic with a high PaCO₂ despite optimal medical treatment and controlled oxygen. Which treatment is usually considered next?

1. A15 L/min oxygen via a non-rebreathe mask
2. BStopping all oxygen therapy
3. CNon-invasive ventilation
4. DSedation to slow the breathing

Why can pulse oximetry be misleading in carbon monoxide poisoning?

1. AStandard oximeters cannot tell carboxyhaemoglobin from oxyhaemoglobin
2. BCarbon monoxide only affects the heart rate reading
3. CCarbon monoxide makes the oximeter read zero even in a well patient
4. DThe oximeter overheats in smoke-exposed patients