Lembar kerja Keperawatan klinis dengan jawaban

Glasgow Coma Scale (GCS) menilai:

1. ANyeri, mual, dan kecemasan
2. BMembuka mata, respons verbal, dan respons motorik
3. CUkuran dan reaksi pupil, tekanan darah, dan nadi
4. DRefleks, tonus otot, dan sensasi

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

1. AInsulin
2. BLactulose
3. CEmollient cream
4. DSimple linctus

Pengkajian mana yang harus dilakukan secara teratur setelah anggota gerak dipasangi gips?

1. AObservasi neurovaskular anggota gerak di bawah gips
2. BTes pendengaran
3. CTes ketajaman penglihatan
4. DPengukuran peak flow

A patient is prescribed two different eye drops at the same time. What is correct?

1. AWait about five minutes between the two drops
2. BGive both drops at once into the same eye
3. CGive one drop now and the other the next day
4. DMix the two drops in one bottle

Which equipment must always be kept at the bedside of a patient with a tracheostomy?

1. AA blood glucose meter and a spare urinary catheter of the same size
2. BSpare tracheostomy tubes, including one a size smaller, and working suction
3. CA blood pressure cuff and a spare nasal cannula and oxygen mask only
4. DA peak flow meter and a nebuliser

Apa yang biasanya perlu dibatasi dalam diet pasien penyakit ginjal kronis?

1. AVitamin C dan serat
2. BKalium dan fosfat
3. CKarbohidrat sepenuhnya
4. DHanya vitamin larut air

A patient with a small leg wound has severe pain out of proportion to the skin changes, rapidly spreading redness and signs of sepsis. What should be suspected?

1. AA superficial bruise
2. BNecrotising fasciitis
3. CSimple cellulitis that will settle with oral antibiotics
4. DAn allergic reaction to the dressing

Dua hari setelah reseksi usus, seorang pasien mengalami nyeri yang makin bertambah, demam, takikardia, dan cairan yang tampak seperti tinja di drain luka. Apa yang paling mungkin?

1. AKonstipasi
2. BRetensi urine
3. CKebocoran anastomosis
4. DPemulihan pascaoperasi yang normal