Lembar kerja Keperawatan klinis dengan jawaban

Which group of findings suggests fluid overload?

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

Produksi urine seorang pasien sedang dipantau. Produksi minimum per jam mana yang lazim digunakan sebagai target pada orang dewasa?

1. ASekitar 0,5 mL per kg berat badan per jam
2. BBerapa pun, asalkan ada urine yang keluar setiap hari
3. CSekitar 5 mL per kg per jam
4. DSekitar 0,05 mL per kg per jam

C-reactive protein (CRP) is a blood marker of:

1. AKidney function
2. BInflammation
3. CBlood clotting time
4. DThyroid function

A patient is receiving enteral feeding through a nasogastric tube. How should they be positioned during feeding?

1. AWith the head of the bed raised to at least 30 degrees
2. BLying on the left side with the head down to help the feed drain
3. CLying completely flat
4. DIn any position, as long as the feed runs slowly

A patient with sickle cell disease is admitted with a painful crisis. What is a key early nursing priority?

1. ADelaying pain relief until a diagnosis is confirmed
2. BRestricting oral fluids
3. CGiving prompt, effective analgesia
4. DApplying cold packs to the painful areas

Transfusi darah akan dimulai. Apa pemeriksaan keselamatan yang paling penting?

1. AMemeriksa preferensi makanan pasien
2. BMenghangatkan semua darah di microwave
3. CHanya memeriksa berat badan pasien
4. DIdentifikasi pasien yang positif dan dicocokkan dengan komponen darah di samping tempat tidur

An older patient with delirium is trying to leave the ward at night, saying he must go home. What is the best initial approach?

1. AGive a sedative straight away without a prescription
2. BCalmly reassure and redirect him while the team assesses his capacity and safety
3. CPhysically restrain him in bed until the morning so that he cannot fall
4. DLet him leave, because adults can always do as they wish whatever their state

Which nursing measure helps reduce raised intracranial pressure?

1. ALying the patient flat with the neck flexed forward on two pillows
2. BFrequent suctioning and encouraging strong coughing
3. CRaising the head of the bed to about 30° with the head kept midline
4. DTilting the patient head-down