Lembar kerja Keperawatan klinis dengan jawaban

Mengapa pasien stroke harus menjalani skrining menelan sebelum diberi makanan, cairan, atau obat lewat mulut?

1. AUntuk mengukur tekanan darahnya
2. BUntuk mengurangi risiko aspirasi
3. CUntuk memeriksa kadar glukosa darahnya
4. DUntuk mencegah luka tekan

What does "cyanosis" describe?

1. APale skin caused by fear or pain
2. BA bluish colour of the skin or lips from poorly oxygenated blood
3. CA yellow colour of the skin and eyes caused by raised bilirubin
4. DA red, flushed face from fever

Which sign is typical of right-sided heart failure?

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

A rising serum creatinine most often indicates:

1. AReduced kidney function
2. BIncreased muscle strength
3. CImproved liver function
4. DDehydration of the skin only

Kejang seorang pasien telah berlangsung lebih dari lima menit. Apa artinya?

1. AKejang itu normal dan tidak memerlukan pengobatan
2. BKejang harus ditangani sebagai status epileptikus dan obat darurat diberikan
3. CTahan anggota gerak untuk menghentikan gerakan
4. DMasukkan sesuatu ke dalam mulut untuk mencegah lidah tergigit

A dying patient can no longer drink and has a dry mouth. What is the most appropriate nursing care?

1. AStarting a fast intravenous infusion to correct the dryness
2. BFrequent mouth care that keeps the lips and mouth moist
3. CLeaving the mouth alone to avoid disturbing them
4. DInserting a nasogastric tube for fluids

A patient is taught to self-inject low-molecular-weight heparin. Which statement shows a need for further teaching?

1. A"I will inject into the fatty tissue of my abdomen."
2. B"I will rub the area firmly after the injection."
3. C"I will change the injection site each time."
4. D"I will report any unusual bleeding or bruising."

A patient with a possible neck injury after a fall needs their airway opened. Which manoeuvre is preferred?

1. AHyperextending the neck
2. BJaw thrust
3. CHead tilt with chin lift
4. DTurning the head to one side