Lembar kerja Keperawatan klinis dengan jawaban

Why is jewellery removed or taped before surgery?

1. ATo reduce the risk of diathermy burns and pressure injury
2. BTo make the patient's weight easier to measure
3. CBecause metal raises the risk of postoperative nausea
4. DBecause metal jewellery increases blood loss during the operation

In palliative care, a syringe driver is used to:

1. ADrain fluid from the lungs
2. BGive a continuous subcutaneous infusion of medicines, often over 24 hours
3. CGive a single fast intravenous injection when symptoms flare up suddenly
4. DMeasure blood glucose continuously

What does a peak flow meter measure?

1. AThe number of breaths per minute
2. BThe oxygen level in the blood during a deep breath
3. CThe fastest rate at which a person can blow air out
4. DThe total amount of air the lungs can hold

A confused patient keeps trying to climb out of bed. Why are bed rails not automatically the answer?

1. APatients can be seriously injured climbing over or becoming trapped in rails
2. BBed rails always make patients more confused, but only during the day
3. CBed rails are illegal in all hospitals and must never be used at all
4. DBed rails stop staff from taking observations

Which measure helps prevent delirium in older inpatients?

1. AReorientation, glasses and hearing aids in use, and good sleep and hydration
2. BKeeping the lights on all night
3. CRestricting fluids to avoid incontinence
4. DMoving the patient to a different bed each night to give them a change of scene

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. BThe drain is blocked
3. CAn air leak, from the lung or from the drainage system
4. DThe drain is working normally for a fluid collection only

A conscious patient with hypoglycaemia was given fast-acting carbohydrate. On re-check 15 minutes later the blood glucose is 3,6 mmol/L (65 mg/dL). What should the nurse do next?

1. AGive a dose of subcutaneous insulin
2. BGive a long-acting carbohydrate snack only and recheck tomorrow
3. CTake no action because the level is rising
4. DGive another dose of fast-acting carbohydrate and recheck

Three days after bowel surgery, a patient has a distended abdomen, vomiting and absent bowel sounds, without colicky pain. What is most likely?

1. AParalytic ileus
2. BA urinary tract infection
3. CNormal recovery after surgery
4. DAcute cholecystitis