Lembar kerja Keperawatan klinis dengan jawaban

The term "pallor" means:

1. AAbnormal paleness of the skin
2. BA red, raised rash
3. CYellowing of the skin and eyes
4. DBluish fingertips

Stridor, a harsh noise heard mainly on breathing in, is a sign of:

1. AMild constipation
2. BFluid collecting in the bases of both lungs
3. CNormal breathing during sleep
4. DNarrowing or obstruction of the upper airway

What is a typical SpO₂ in a healthy adult at rest breathing room air?

1. AAbout 95–100%
2. BAbout 75–80%
3. CAbout 85–88%
4. DAbout 60–70%

Which measure helps reduce the risk of surgical site infection?

1. ALeaving the patient cool during surgery to slow bacterial growth
2. BChanging the wound dressing every hour
3. CRemoving hair, if needed, with clippers rather than a razor
4. DShaving the area with a razor the night before surgery

What should a patient be told before using sublingual glyceryl trinitrate (GTN, nitroglycerin) spray for angina?

1. ASit down before using it, as it can cause dizziness and low blood pressure
2. BSwallow the spray rather than leaving it under the tongue
3. CTake it with a large glass of milk to protect the stomach lining
4. DUse it only after the pain has lasted over an hour, with the patient lying flat

Which side effects are common after high doses of salbutamol (albuterol)?

1. AConstipation and urinary retention
2. BTremor and a fast heart rate
3. CBradycardia and drowsiness
4. DHair loss and weight gain

Temuan mana yang paling kuat menunjukkan emboli paru pada pasien pascaoperasi?

1. AMengi yang membaik dengan salbutamol
2. BNadi lambat dengan tekanan darah tinggi
3. CAwitan bertahap batuk dengan dahak kuning dan demam ringan selama seminggu
4. DSesak napas mendadak dan nyeri dada pleuritik disertai takikardia

A healthcare assistant reports four observations. Which one needs the nurse's immediate action?

1. A"Mr Patel's breathing rate is 8 a minute and he's hard to wake."
2. B"Mrs Jones would like a cup of tea and her glasses cleaned."
3. C"Mr Chen's blood pressure is 128/80 as usual."
4. D"Ms Ali has walked to the bathroom on her own."