Lembar kerja Keperawatan klinis dengan jawaban

Glasgow Coma Scale (GCS) menilai:

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

Why is jewellery removed or taped before surgery?

1. ABecause metal jewellery increases blood loss during the operation
2. BTo make the patient's weight easier to measure
3. CBecause metal raises the risk of postoperative nausea
4. DTo reduce the risk of diathermy burns and pressure injury

Anaemia means:

1. AA low platelet count
2. BA lower than normal haemoglobin level
3. CA raised blood glucose level
4. DA higher than normal white cell count

Which of these is one of the "4 Hs", the reversible causes of cardiac arrest?

1. AHyperventilation
2. BHypertension
3. CHypoxia
4. DHyperthyroidism

After a needlestick injury from a patient known to have HIV, why must the nurse report it immediately?

1. AThe needle must be sent for culture
2. BThe nurse must be tested for HIV the same day to confirm infection
3. CThe patient will need antibiotics
4. DPost-exposure prophylaxis works best when started as soon as possible

Seorang pasien diabetes tipe 1 muntah dan makan sedikit. Apa saran hari sakit (sick-day rules) yang benar?

1. AKurangi asupan cairan separuh untuk mencegah muntah
2. BPeriksa glukosa hanya sekali sehari
3. CJangan hentikan insulin; periksa glukosa dan keton lebih sering
4. DHentikan insulin sampai bisa makan normal lagi untuk menghindari hipoglikemia

Seorang pasien setelah penggantian panggul total tiba-tiba mengalami nyeri panggul hebat, tungkai memendek, dan tungkai berotasi. Apa komplikasi yang paling mungkin?

1. ATrombosis vena dalam pada betis
2. BDislokasi prostesis
3. CInfeksi luka
4. DRetensi urine

Which action is most important in protecting a patient with severe neutropenia from infection?

1. AKeeping fresh flowers and plants in the room to help the patient's mood
2. BGiving routine intramuscular injections
3. CTaking rectal temperatures regularly
4. DStrict hand hygiene by everyone who has contact with the patient