Lembar kerja Keperawatan klinis dengan jawaban

Which sign is typical of right-sided heart failure?

1. APinpoint pupils, drowsiness and a slow breathing rate
2. BCrackles in both lungs and pink frothy sputum
3. CA high fever with rigors
4. DSwollen ankles and a raised jugular venous pressure

After a stroke, a patient has "aphasia". What does this mean?

1. ALoss of vision in one eye
2. BWeakness of one side of the body
3. CDifficulty understanding or producing language
4. DDifficulty swallowing food, drink and saliva

Tanda mana yang menunjukkan flebitis di lokasi kanula intravena?

1. AKemerahan, nyeri, dan bengkak di sepanjang vena
2. BKulit normal tanpa nyeri
3. CKulit pucat dan dingin jauh dari lokasi
4. DPasien merasa haus

A patient has a continuous stream of bubbles in the water seal chamber of their chest drain. What does this most likely indicate?

1. AThe lung has fully re-expanded
2. BAn air leak, from the lung or from the drainage system
3. CThe drain is working normally for a fluid collection only
4. DThe drain is blocked

Saat memberikan insulin, pernyataan mana yang benar?

1. ASelalu menyuntik di titik yang sama agar penyerapan konsisten
2. BInsulin kerja cepat hanya diberikan saat tidur
3. CRotasi lokasi suntikan untuk mencegah lipohipertrofi
4. DInsulin harus dikocok kuat sebelum dipakai

A patient with COPD and known carbon dioxide retention needs a nebulised bronchodilator. How should it usually be given?

1. ADriven by high-flow oxygen at 15 L/min for as long as possible
2. BDriven by compressed air, with oxygen given separately if needed
3. CWithout monitoring oxygen saturation
4. DOnly with the patient lying flat

In a patient with a head injury, which is usually the earliest sign of rising intracranial pressure?

1. AA change in level of consciousness
2. BA fixed, dilated pupil on both sides
3. CA slow pulse with high blood pressure
4. DIrregular breathing pauses

During a blood transfusion, an older patient with heart failure becomes breathless with a rising blood pressure, raised JVP and crackles in the lungs. What is the most likely cause?

1. ATransfusion-associated circulatory overload
2. BAnaphylaxis
3. CTransfusion-related acute lung injury with hypotension
4. DA febrile non-haemolytic reaction