Lembar kerja Keperawatan klinis dengan jawaban

Produksi urine seorang pasien sedang dipantau. Produksi minimum per jam mana yang lazim digunakan sebagai target pada orang dewasa?

1. ASekitar 5 mL per kg per jam
2. BSekitar 0,5 mL per kg berat badan per jam
3. CSekitar 0,05 mL per kg per jam
4. DBerapa pun, asalkan ada urine yang keluar setiap hari

A pleural effusion is:

1. AA collection of fluid in the pleural space
2. BAn infection of the bronchi
3. CA blood clot in the lung
4. DAir in the pleural space after an injury

Why must patients and visitors never smoke or use naked flames near oxygen therapy?

1. AOxygen turns cigarette smoke into a poisonous gas
2. BFlames make the oxygen less effective
3. CSmoke blocks the oxygen tubing and stops the flow
4. DOxygen makes things burn much more easily and fiercely

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

1. AIncrease the rate so that the infusion finishes as quickly as possible
2. BStop the infusion straight away and follow the extravasation protocol
3. CFlush the cannula hard with saline
4. DApply a warm pack and continue the infusion

Which side effects are common after high doses of salbutamol (albuterol)?

1. ABradycardia and drowsiness
2. BHair loss and weight gain
3. CTremor and a fast heart rate
4. DConstipation and urinary retention

Which side effect is associated with SGLT2 inhibitors such as dapagliflozin?

1. AHair loss
2. BSevere weight gain and fluid retention
3. CBradycardia
4. DGenital fungal infections

A patient two days after abdominal surgery coughs and says something "gave way". The wound has opened and bowel is visible. What should the nurse do first?

1. AApply dry gauze tightly and ask the patient to keep coughing
2. BSit the patient fully upright and offer a hot drink
3. CCover the wound with sterile, saline-moistened dressings and get urgent surgical help
4. DGently push the bowel back into the abdomen and tape the wound edges firmly closed

Seorang pasien yang diduga meningitis mengalami demam, kaku kuduk, dan ruam yang tidak memucat saat ditekan. Apa prioritasnya?

1. AMenunggu hasil pungsi lumbal sebelum memulai pengobatan apa pun
2. BEvaluasi segera dan antibiotik segera, tanpa menunggu hasil pemeriksaan
3. CMemberikan parasetamol untuk demam dan mengevaluasi pasien besok
4. DMeredupkan lampu, menganjurkan istirahat, dan memeriksa ulang observasi dalam empat jam