Lembar kerja Prioritas & delegasi dengan jawaban

Which strategy helps a nurse organize care at the start of a shift?

1. AWait until problems come up and then decide what to do
2. BDo the tasks in strict order of room number, whatever their urgency
3. CDo the quickest tasks first so the list gets shorter
4. DRank the tasks by urgency after report and plan the time around them

A patient’s platelet count is 18,000/mm³ (18 × 10⁹/L). Which risk is the nursing priority?

1. ABleeding
2. BBlood clots
3. CFluid overload
4. DInfection

Pasien mana yang paling stabil?

1. APasien dua hari setelah operasi lutut dengan nyeri 3/10 dan tanda vital normal
2. BPasien dengan nyeri dada baru
3. CPasien yang tekanan darahnya turun dari 132/80 menjadi 90/56 mmHg
4. DPasien yang baru menjadi bingung

After a hip replacement using a posterior approach, which statement shows a need for further teaching?

1. A“I will not bend my hip past 90 degrees.”
2. B“I will cross my legs when I sit, so I am more comfortable.”
3. C“I will keep a pillow between my knees when I lie on my side in bed.”
4. D“I will use a raised toilet seat at home.”

Selama infus antibiotik IV, seorang pasien mengalami biduran, mengi, dan suara serak. Apa yang pertama kali dilakukan perawat?

1. AMemberikan difenhidramin oral
2. BMemperlambat infus menjadi setengah kecepatan
3. CMenghentikan infus
4. DMendokumentasikan reaksi dalam rekam medis

A patient with angina is taught to use sublingual nitroglycerin (GTN). Which statement shows a need for further teaching?

1. A“I will carry the tablets with me when I go out.”
2. B“If the pain has not eased as my action plan says, I will call emergency services.”
3. C“I will take five tablets one after the other before I call for help.”
4. D“I will sit or lie down when I take a tablet.”

Pada triase START, seorang dewasa tidak bernapas. Jalan napas diposisikan ulang dan korban tetap tidak bernapas. Apa kategori yang benar?

1. AHitam (meninggal atau ekspektan)
2. BMerah, karena tidak bernapas adalah temuan yang paling mendesak
3. CKuning, dan kembali lagi nanti
4. DMerah, dan segera mulai RJP

A patient with diabetic ketoacidosis is about to start an IV insulin infusion. The serum potassium is 3,0 mEq/L. What should the nurse do?

1. AGive the insulin as a fast bolus to bring the potassium up
2. BIgnore the result, since potassium is always high in this condition and will correct itself
3. CStart the insulin at once, because the glucose is the bigger problem
4. DReport the result before starting, because insulin will push potassium even lower