Lembar kerja Keperawatan klinis dengan jawaban

The term "proteinuria" means:

1. AProtein in the urine
2. BToo much protein in the diet
3. CPainful passing of urine
4. DLow protein in the blood

Which group of findings suggests fluid overload?

1. ALow jugular venous pressure and cool skin
2. BSwollen ankles, breathlessness, lung crackles and weight gain
3. CDry mouth, thirst, dark urine and a rapid weak pulse
4. DWeight loss, sunken eyes and a dry mouth

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

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

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

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

Which advice is correct for a patient taking levothyroxine?

1. AStop taking it once the symptoms improve
2. BTake it with a large meal to avoid nausea and stomach upset
3. CTake it on an empty stomach, usually before breakfast
4. DTake it only on days when feeling tired

Seorang pasien baru mengalami kebingungan, frekuensi napas 24/menit, dan tekanan darah sistolik 95 mmHg. Apa yang harus dicurigai terlebih dahulu?

1. ASepsis
2. BKecemasan
3. CPemulihan pascaoperasi yang normal
4. DIntoksikasi alkohol

How should pain be assessed in a patient with advanced dementia who cannot describe it?

1. ABy asking the patient to rate their pain on a numerical scale from 0 to 10
2. BBy checking the blood pressure only
3. CBy assuming the patient has no pain unless they are crying out or calling for help
4. DWith an observational pain tool that scores facial expression, behaviour and body language

A patient on an unfractionated heparin infusion is also started on warfarin. Which tests are used to monitor each drug?

1. AAPTT for heparin and INR for warfarin
2. BINR for heparin and APTT for warfarin
3. CD-dimer for both drugs
4. DPlatelet count for both drugs