Lembar kerja Keperawatan klinis dengan jawaban

Tanda mana yang menunjukkan dehidrasi pada orang dewasa?

1. APergelangan kaki bengkak, ronki di paru, dan JVP meningkat
2. BMulut kering, urine pekat berwarna gelap, dan takikardia
3. CKenaikan berat badan dalam dua hari
4. DMulut lembap, urine pucat, dan nadi normal

Rule of nines memperkirakan:

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

The term "polypharmacy" usually means:

1. AA single medicine that contains many active ingredients
2. BGiving one medicine by several routes
3. CA pharmacy that sells many different brands
4. DA patient taking many medicines at the same time

During a vesicant chemotherapy infusion, the patient reports burning and swelling at the cannula site. What should the nurse do first?

1. AFlush the cannula hard with saline
2. BIncrease the rate so that the infusion finishes as quickly as possible
3. CApply a warm pack and continue the infusion
4. DStop the infusion straight away and follow the extravasation protocol

Which rule is essential for safe use of patient-controlled analgesia (PCA)?

1. ARelatives should press it while the patient sleeps
2. BThe nurse should press it every hour
3. COnly the patient should press the button
4. DThe button should be pressed before each meal

Which advice should be given to a patient with a new permanent pacemaker?

1. ANever raise the arm on that side again
2. BStop all heart medicines straight away
3. CAvoid using all household electrical appliances such as kettles
4. DTell staff about the pacemaker before any MRI scan or procedure

Perubahan EKG apa yang secara klasik terkait dengan hiperkalemia berat?

1. AHanya depresi ST
2. BGelombang U yang menonjol
3. CInterval PR memendek
4. DGelombang T tinggi dan runcing

A patient with small cell lung cancer has hyponatraemia, concentrated urine and no signs of dehydration. Which condition and first measure fit best?

1. ACushing's syndrome, managed with potassium
2. BSIADH, often managed first with fluid restriction
3. CDiabetes insipidus, managed with extra fluids
4. DDehydration, managed with an IV fluid bolus