Lembar kerja Medikal-bedah: saraf, endokrin & ginjal dengan jawaban

A patient with advanced CKD has a high potassium. Which foods are often limited?

1. ABananas, potatoes and oranges
2. BWhite rice, pasta and bread
3. CApples, berries and cabbage
4. DEgg whites, chicken and fish

Which symptom is the classic warning sign of bladder cancer?

1. ALeaking urine when coughing
2. BBurning pain on passing urine
3. CPainless visible blood in the urine
4. DSevere loin pain that comes in waves

What is the normal range for serum potassium in an adult?

1. AAbout 3,5–5,0 mmol/L
2. BAbout 6,0–7,5 mmol/L
3. CAbout 1,5–2,5 mmol/L
4. DAbout 135–145 mmol/L

Seorang pasien dengan stroke hemisfer kanan mengabaikan makanan di sisi kiri piring. Apa nama kondisi ini?

1. AAfasia ekspresif
2. BAtaksia serebelar
3. CDisfagia
4. DNeglect sisi kiri

Mengapa kalium harus dipantau ketat saat insulin IV diberikan untuk KAD?

1. AInsulin tidak berpengaruh pada kalium pada KAD
2. BInsulin membuat ginjal menahan kalium, sehingga kadar akan naik
3. CInsulin memecah kalium dalam aliran darah
4. DInsulin memindahkan kalium ke dalam sel, sehingga kadar dapat turun cepat

A patient with type 1 diabetes plans a long cycle ride. Which advice is most appropriate?

1. ASkip breakfast so the exercise burns body fat
2. BAvoid checking glucose until the ride is over
3. CCheck glucose before and after, and carry fast-acting carbohydrate
4. DTake an extra dose of rapid-acting insulin before setting off

A haemodialysis patient missed their last two sessions. They are breathless, with crackles, and the potassium is 6,9 mmol/L. What is the priority?

1. AOral potassium supplements and rest
2. BUrgent dialysis, with cardiac monitoring meanwhile
3. CLarge IV fluid boluses to improve the circulation
4. DA routine dialysis session at the next planned slot

Selama infus alteplase untuk stroke, pasien mengalami sakit kepala hebat, muntah, dan GCS yang menurun. Apa yang harus dilakukan perawat pertama kali?

1. AMemberikan sedatif untuk menenangkan pasien dan melanjutkan
2. BMempercepat infus agar selesai lebih cepat
3. CMemberikan antiemetik dan memeriksa ulang GCS satu jam kemudian
4. DMenghentikan infus dan segera memanggil tim stroke