Lembar kerja Prioritas & delegasi dengan jawaban

Which task should the registered nurse not delegate to a nursing assistant?

1. AMaking an occupied bed
2. BEvaluating whether the patient understood discharge teaching
3. CGiving a bed bath to a stable patient
4. DWalking a stable patient up and down the corridor after lunch

What does NPO mean on a patient’s care plan?

1. ANo pain observed
2. BNormal patient observations
3. CNot for physical therapy
4. DNothing by mouth

Which finding in an infant is a sign of breathing difficulty?

1. AWet diapers every few hours
2. BNasal flaring
3. CA strong cry
4. DPink, warm hands and feet

Several patients on a gastroenterology unit need care. Which patient should the nurse see first?

1. ACrohn disease, waiting to be taken down for a scheduled CT scan
2. BLong-standing back pain, asking for the usual analgesic
3. CTwo hours after a colonoscopy: rigid abdomen and severe new pain
4. DUlcerative colitis, asking about diet changes for home

Two hours after birth, the nurse finds the uterus firm but above the umbilicus and pushed to the right. What should the nurse do first?

1. AMassage the uterus firmly for ten minutes
2. BGive a dose of oxytocin straight away
3. CAsk the patient to lie still for another hour
4. DHelp the patient empty her bladder

Five days after starting heparin, a patient’s platelet count has fallen by more than half. What should the nurse suspect?

1. AVitamin K deficiency
2. BIron deficiency anemia
3. CHeparin-induced thrombocytopenia
4. DAn expected effect that needs no action

Di instalasi gawat darurat, pasien mana yang harus langsung masuk ke ruang tindakan?

1. APria 30 tahun dengan nyeri tenggorok dua hari dan suhu 38,0 °C
2. BPria 60 tahun dengan rasa tertekan di dada, berkeringat, dan mual selama 20 menit
3. CPerempuan 25 tahun dengan pergelangan tangan terkilir dan tanda vital normal
4. DPria 45 tahun yang meminta resep ulang

A nursing assistant has twice not reported abnormal vital signs to the RN. What is the RN’s best action?

1. AComplain about the assistant to the patients during care
2. BStop delegating any tasks to the assistant for the rest of the year
3. CTalk to the assistant privately, restate what must be reported and follow up closely
4. DSay nothing to the assistant and quietly recheck all of the assistant’s vital signs in secret