Lembar kerja Prioritas & delegasi dengan jawaban

What does a “PRN” medication order mean?

1. AGive the drug once only, immediately
2. BGive the drug when needed, within the prescribed limits
3. CGive the drug at exactly the same time every single day
4. DGive the drug only before surgery

Seorang asisten keperawatan melaporkan empat temuan. Mana yang harus diperiksa perawat lebih dulu?

1. APasien yang nampan sarapannya tidak habis
2. BPasien yang ingin menelepon kerabat
3. CPasien yang meminta selimut tambahan
4. DPasien yang tiba-tiba tidak dapat menggerakkan lengan kanannya

What does the Morse Fall Scale measure?

1. AA patient’s skin integrity
2. BA patient’s pain level
3. CA patient’s nutrition status
4. DA patient’s risk of falling

A patient’s peripheral IV site is swollen, pale and cool, and the infusion has slowed. What should the nurse do first?

1. AIncrease the infusion rate to overcome the resistance
2. BStop the infusion and remove the cannula
3. CApply a tight bandage over the site to reduce swelling
4. DFlush the cannula hard to clear the blockage

A patient with schizophrenia says voices are telling him to hurt his roommate. What is the priority?

1. AKeep everyone safe and tell the team, as the risk of harm is high
2. BTell him the voices are not real and leave him alone
3. CAsk the roommate to stay in the room with him and help calm him down
4. DIgnore the comment, because voices are part of his illness

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. BHeparin-induced thrombocytopenia
3. CAn expected effect that needs no action
4. DIron deficiency anemia

An 85-year-old resident becomes newly confused and is falling, but has no fever. Which cause should the nurse consider first?

1. ABoredom from not having enough activities
2. BNormal aging that needs no assessment
3. CAn infection, such as a urinary tract infection, presenting atypically
4. DA sudden worsening of long-standing dementia that needs no tests

Laporan asisten keperawatan mana yang harus segera ditindaklanjuti perawat?

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