Lembar kerja Prioritas & delegasi dengan jawaban

Which adult blood glucose result needs treatment straight away?

1. A130 mg/dL (7,2 mmol/L) two hours after a large lunch
2. B110 mg/dL (6,1 mmol/L) after a snack
3. C98 mg/dL (5,4 mmol/L) before breakfast
4. D52 mg/dL (2,9 mmol/L) with sweating and shakiness

In a three-level triage system, what does “urgent” mean?

1. ASerious but stable for now, and needs care soon
2. BLife-threatening and needs care immediately
3. CAlready deceased on arrival
4. DMinor, and can safely wait for several hours

Which statement about pulse oximetry is correct?

1. ACold fingers or nail polish can give an inaccurate reading
2. BIt shows the patient’s blood glucose
3. CIt measures the carbon dioxide in the blood
4. DThe reading is always correct, whatever finger or hand is used

Which patient on an addiction unit should the nurse see first?

1. ALast drink two days ago; now shaking, sweating, heart rate 124/min and seeing insects
2. BLast drink this morning; asking when lunch will arrive
3. CIn recovery for a year; came to the clinic today for a routine check and a repeat prescription
4. DLast drink one week ago; asking about support groups

Pada triase START di lokasi korban massal, seorang korban dapat berjalan ke area yang ditentukan saat diminta. Kategori mana yang diberikan kepada korban?

1. AKuning (tertunda)
2. BMerah (segera)
3. CHijau (ringan)
4. DHitam (ekspektan)

A nurse cannot read part of a medication order. What should the nurse do?

1. ASkip the drug and not tell anyone until the next ward round
2. BAsk another nurse to guess what the order most likely says, then give it
3. CGive the usual dose of the drug the nurse thinks was meant
4. DContact the prescriber to clarify the order before giving the drug

Laporan asisten keperawatan mana yang harus segera ditindaklanjuti perawat?

1. APasien tirah baring meminta pispot
2. BPasien diabetes mengatakan kakinya sering terasa kesemutan, seperti biasanya
3. CSetelah fusi tulang belakang lumbal pagi ini, tidak dapat merasakan atau menggerakkan tungkai
4. DPasien pneumonia mengeluarkan dahak kuning

Several patients on a unit develop diarrhea within two days. What should the nurse do first?

1. APlace affected patients on contact precautions and inform infection control
2. BMove the affected patients into shared rooms with other patients to free up beds
3. CWait to see if more patients become unwell
4. DGive all patients antidiarrheal drugs without assessment