Lembar kerja Prioritas & delegasi dengan jawaban

Using the rule of nines, what percentage of body surface does one whole arm represent in an adult?

1. A18%
2. B36%
3. C1%
4. D9%

What is a “critical value” in laboratory testing?

1. AA result that is slightly outside the normal range and can wait for the ward round
2. BA result that the patient has asked to see
3. CA result that is needed only for research
4. DA result that may be life-threatening and must be reported at once

Which resting heart rate is normal for a newborn?

1. A60/min
2. B80/min
3. C140/min
4. D210/min

Which two patients can most safely share a room?

1. ATwo patients who both have C. difficile infection
2. BA patient with MRSA in a wound and a patient after surgery
3. CA patient with influenza and a patient with COPD
4. DA patient with chickenpox and a patient on chemotherapy

Pada triase START, seorang dewasa yang tidak dapat berjalan bernapas 22 kali per menit, memiliki nadi radialis, dan mengikuti perintah sederhana, tetapi mengalami fraktur tungkai yang jelas. Kategori mana yang diberikan kepada korban?

1. AMerah (segera)
2. BKuning (tertunda)
3. CHitam (ekspektan)
4. DHijau (ringan)

A patient on a continuous IV heparin infusion has new black, tarry stools and an aPTT well above the target range. What should the nurse do first?

1. AOffer an iron-rich meal to replace the lost blood
2. BGive a dose of vitamin K by mouth
3. CCheck the pump rate and leave the infusion running
4. DStop the heparin infusion and inform the provider

A patient taking an SSRI is also given tramadol. A few hours later the patient is agitated, sweating and has a fever, jerking muscles and brisk reflexes. What is the most likely cause?

1. AAn anxiety attack
2. BSerotonin syndrome
3. COpioid withdrawal
4. DNeuroleptic malignant syndrome

A patient takes lithium. Which statement shows a need for further teaching?

1. A“I will drink enough fluid every day.”
2. B“I will take ibuprofen every day for my headaches.”
3. C“I will keep my daily salt intake about the same as usual.”
4. D“I will go for my blood tests as planned.”