Lembar kerja Keperawatan klinis dengan jawaban

Pain from gallstones (biliary colic) is typically felt in which area?

1. AThe right upper abdomen, often after a fatty meal
2. BBehind the left knee
3. CThe left lower abdomen, usually after drinking water
4. DThe lower back on the left, when walking

Stoking kompresi bertingkat dan mobilisasi dini setelah operasi terutama digunakan untuk mencegah:

1. AInfeksi luka
2. BHanya luka tekan di tumit
3. CRetensi urine
4. DTromboemboli vena

Postural (orthostatic) hypotension is a drop in blood pressure that happens:

1. AOnly during deep sleep
2. BOnly during heavy exercise or climbing stairs
3. COn standing up from lying or sitting
4. DAfter eating a large meal

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

1. AStop the infusion straight away and follow the extravasation protocol
2. BIncrease the rate so that the infusion finishes as quickly as possible
3. CApply a warm pack and continue the infusion
4. DFlush the cannula hard with saline

Why are patients asked to fast before a general anaesthetic?

1. ATo lower the blood glucose before surgery
2. BTo prevent postoperative constipation and abdominal bloating
3. CTo reduce the risk of aspirating stomach contents
4. DTo make the surgery shorter

Why is oxygen often humidified for a patient with a tracheostomy?

1. AHumidification lowers the oxygen concentration to a safer level
2. BHumidity is needed for the oxygen to work as a drug
3. CThe tube bypasses the nose, which normally warms and moistens air
4. DDry oxygen causes high blood glucose

The fluid in an underwater seal chest drain has stopped swinging with breathing. What could this mean?

1. AThe drain is working perfectly and needs no checks
2. BThe tube may be kinked or blocked, or the lung may have fully re-expanded
3. CThe patient's breathing has become normal and the drain can be pulled out by the nurse
4. DThe water seal has been set up correctly for the first time

Pasien trakeostomi tiba-tiba tidak bisa bernapas dan kanul tampak tersumbat. Apa tindakan pertama?

1. ATunggu dokter sebelum melakukan apa pun
2. BBeri oksigen hanya lewat mulut
3. CKempiskan balon (cuff) lalu tinggalkan pasien
4. DLepaskan kanul dalam dan periksa apakah tersumbat