Lembar kerja Keperawatan klinis dengan jawaban

What does "orthopnoea" mean?

1. ABreathlessness only during exercise
2. BBreathing that is abnormally slow
3. CBreathlessness when lying flat
4. DA pause in breathing during sleep

Tindakan keperawatan utama untuk mengurangi infeksi saluran kemih terkait kateter adalah:

1. AMelepas kateter segera setelah tidak diperlukan lagi
2. BSering melepas sambungan kantong urine
3. CMenempatkan kantong drainase di atas level kandung kemih pasien
4. DMengganti kateter setiap hari

Glaucoma is an eye condition in which:

1. AThe eyelids turn inwards and the lashes rub the eye
2. BRaised pressure in the eye damages the optic nerve
3. CThe tear glands stop working
4. DThe lens becomes cloudy and vision is blurred

A patient has lost more than 10% of their body weight without trying over the last few months and has a low BMI. What is the most appropriate action?

1. AEncourage a low-calorie diet
2. BRestrict fluids to encourage appetite and give a low-protein diet instead
3. CWeigh the patient again in six months and review at that point
4. DRefer to the dietitian and start a nutrition care plan with food charts

A patient is having a 12-lead ECG. Where are the chest electrodes placed?

1. AOn both shoulders and both hips only
2. BIn standard numbered positions across the front and left of the chest
3. CIn a straight line down the centre of the sternum from top to bottom
4. DAnywhere on the chest where the skin is clear

Compared with a colostomy, a patient with an ileostomy is at greater risk of:

1. ADehydration and electrolyte loss from liquid output
2. BHard stools, straining and constipation from slow transit
3. CUrinary retention
4. DLow blood glucose after meals

Which feature suggests moisture-associated skin damage rather than a pressure ulcer?

1. ADiffuse, superficial redness in a skin fold, not over a bony prominence
2. BNon-blanching redness directly over the hip bone after lying on one side
3. CA round area of necrosis over the heel
4. DA deep wound over the sacrum with exposed bone and a dark base

A patient with lung cancer develops swelling of the face and arms, distended neck veins and breathlessness that is worse lying down. What should be suspected?

1. AHypothyroidism
2. BSuperior vena cava obstruction
3. CAn allergic reaction to food
4. DRight-sided heart failure from valve disease