Lembar kerja Keperawatan klinis dengan jawaban

Which of these is considered a high-alert (high-risk) medicine?

1. AInsulin
2. BSimple linctus
3. CEmollient cream
4. DLactulose

Which of these is a common complication of prolonged bed rest?

1. AImproved lung expansion
2. BIncreased muscle strength
3. CDeep vein thrombosis
4. DLower risk of pressure ulcers

Glasgow Coma Scale (GCS) menilai:

1. ANyeri, mual, dan kecemasan
2. BUkuran dan reaksi pupil, tekanan darah, dan nadi
3. CRefleks, tonus otot, dan sensasi
4. DMembuka mata, respons verbal, dan respons motorik

An older adult has left lower abdominal pain, fever and a raised CRP. Which condition is most likely?

1. AAppendicitis
2. BGastric ulcer
3. CBiliary colic
4. DDiverticulitis

A patient on haemodialysis has an arteriovenous fistula in the left arm. Which nursing care is correct?

1. AAvoid blood pressure readings and blood samples on that arm
2. BKeep the arm raised and still at all times
3. CUse the fistula arm for routine IV cannulas
4. DApply a tight bandage over the fistula at night to protect it

Why is blood pressure monitored closely in a patient with an epidural infusion?

1. AEpidurals always cause severe hypertension that needs regular treatment
2. BThe epidural pump uses the blood pressure to set the rate
3. CBlood pressure readings show whether the catheter is infected
4. DThe local anaesthetic can block sympathetic nerves and cause hypotension

A patient suddenly develops a painful red eye with blurred vision, haloes around lights and vomiting. What should be suspected?

1. AA stye
2. BSimple conjunctivitis from a viral infection
3. CAcute angle-closure glaucoma
4. DDry eye syndrome

A nurse teaches a patient with heart failure about self-care. Which statement shows a need for further teaching?

1. A"I will take my water tablet in the morning."
2. B"I will weigh myself each morning after passing urine."
3. C"I only need to weigh myself once a month."
4. D"I will report it if I need more pillows to sleep."