Case-1

Case 1:
Tn. X, the age of 50 years complained chest pain, crawling to the neck and left arm after the evening meal. Because the pain is not lost for 1 hour, and then taken to the hospital.
Results of: TD 150/90 mmHg, HR 120 times per minute, RR 28 times per minute, body temperature 38 º C. His father died because of heart attack, patients smoking since the age of 18 years, 160 cm high body weight 50 kg,

1. Pain in the Tn. X is ....
a. Angina pektoris unstabil
b. Pektoris stable Angina
c. Angina variants
d. Infark acute miokard
e. Infark chronic miokard

2. Below are the factors that aggravate the situation Tn. X and the need to Interfered ....
a. Sex male
b. Kebiasan smoking
c. Factors keturuan
d. Age 50 years
e. Obesity

3. Factors presipitasi pain in Tn. X is ....
a. Stoppage arteries koronaria
b. Kebiasan smoking
c. Factors descendants
d. Arteriosklerosis
e. Eating afternoon

4. Nursing action under this done right, except ....
a. Cold compress on the chest Tn. X
b. Inspection EKG
c. Giving oxygen
d. Monitor vital sign
e. Tirah lying

5. Goal action on the nursing problem Tn. X below that is not right ....
a. Lower the oxygen needs of the heart
b. Prevent the expansion of the damage miokard
c. Suplay increase oxygen miokard
d. Improve client activity
e. Prevent complications



Case 2:
Tn. G 50 years of age, weight 50 kg, treated in the RSU. The situation at the time treated at 14:00: the patient is still breathing difficulties, ¤ #, lie with the semi-Fowler position, received oxygen 3 L / min, ederma feet, ascites, Doofus inserted in the left arm D 5% 10 drops / min (150 still in flabot cc), inserted catherization, the amount of urine since 0700 is 400 hours cc.
Blood pressure of 110/60 mmHg, 26 X breaths / minute, pulse 100 X / minutes, the temperature 36 º C.
Has done a chest X-rays, the results kardiomegali. Diagnostic medical heart failure.
150à2 mins = 1cc
6. Shortness of breath on Tn. G is
a. Ortopneu
b. Paroxysmal Nocturnal Dyspneu
c. On Dyspneu effort
d. Gallop
e. Takhipneu

7. The main problem in the nursing Tn. G, is ...
a. The risk of damage to the integrity of the skin
b. Damage to the gas exchange
c. The excess fluid volume
d. The pattern of breath is not effective
e. The risk of infection

8. Classification of heart failure in the Tn. G according to the NYHA (New York Heart Association) is ....
a. Class I
b. Class II
c. Class III
d. Class IV
e. Class V

9. Collaborative problem formulated under this right, except ....
a. PK: Failed kidney bd suplay decrease in the blood to the kidney time
b. PK: Aritmia bd hipoksia miokard and increase the rate katekolamin
c. PK: Trombolitik b.d static vena and imobilisasi
d. PK: shock kardiogenik b.d heart failure is widely
e. PK: Hypertension b.d the excess fluid volume

10. At what time family provides infuse next? ....
a. 16:00 wib
b. 17:00 wib
c. 18:00 wib
d. 19:00 wib
e. 20:00 wib