Lembar kerja Prioritas & delegasi dengan jawaban

Which serum potassium result should the nurse report to the provider promptly?

1. A4,9 mEq/L (4,9 mmol/L)
2. B6,4 mEq/L (6,4 mmol/L)
3. C3,8 mEq/L (3,8 mmol/L)
4. D4,2 mEq/L (4,2 mmol/L)

Masalah pasien mana yang umumnya memiliki prioritas tertinggi?

1. AKecemasan
2. BObstruksi jalan napas
3. CDefisit pengetahuan tentang obat
4. DNyeri akut

Pada henti jantung dewasa, urutan mana yang digunakan bantuan hidup dasar saat ini?

1. AA-B-C: jalan napas, napas buatan, kompresi
2. BA-C-B: jalan napas, kompresi, napas buatan
3. CC-A-B: kompresi, jalan napas, napas buatan
4. DB-C-A: napas buatan, kompresi, jalan napas

A patient with a valid do-not-resuscitate order (DNR; called DNACPR in the UK) stops breathing and has no pulse. What should the nurse do?

1. AFollow the DNR order and do not start CPR
2. BStart CPR and stop when the family arrives
3. CCall the cardiac arrest team and let them decide
4. DStart chest compressions but not rescue breaths

A malnourished patient admitted with alcohol use disorder needs IV glucose. Which vitamin is given before or with it?

1. AVitamin K (phytonadione)
2. BVitamin D (calciferol)
3. CThiamine (vitamin B₁)
4. DVitamin C (ascorbic acid)

A patient on a nasal cannula at 6 L/min still has a low SpO₂. What should the nurse do?

1. AReport it, because a different oxygen device is likely to be needed
2. BTurn the nasal cannula up to 15 L/min
3. CRemove the oxygen to see if the SpO₂ changes
4. DRecheck the SpO₂ at the next routine set of observations in four hours

Two call lights go on at the same time. One patient has pain of 7/10 after surgery. The other is a confused patient at high risk of falls who is climbing out of bed alone. Who does the nurse go to first?

1. AWhichever patient’s room is closer to the station
2. BThe patient whose call light went on first
3. CThe confused patient climbing out of bed
4. DThe patient in pain after surgery

Which nursing approach may raise intracranial pressure in a patient with a head injury?

1. ASpacing out care with rest periods in between activities
2. BKeeping the head in line with the body
3. CDoing suctioning, turning and bathing all at the same time
4. DKeeping the room calm and quiet