Lembar kerja Prioritas & delegasi dengan jawaban

Dalam kerangka ABC, masalah mana yang merupakan masalah sirkulasi?

1. AKecemasan
2. BPerdarahan yang tidak terkendali
3. CFrekuensi napas 32/menit
4. DStridor

Which patient need belongs to the love and belonging level of Maslow’s hierarchy?

1. AWanting family members to visit
2. BWanting praise for progress in rehabilitation
3. CNeeding the call light within reach
4. DNeeding pain relief after surgery

Which medication reverses opioid-induced respiratory depression?

1. AProtamine sulfate
2. BFlumazenil
3. CNaloxone
4. DVitamin K

A patient is receiving a blood transfusion. Which task can the nurse delegate to a nursing assistant?

1. ADeciding whether to stop the transfusion if the patient has chills
2. BAssessing the patient for signs of a transfusion reaction
3. CStarting the transfusion once the blood arrives
4. DMeasuring and reporting vital signs at the times set by the nurse

A drowsy patient has an arterial blood gas with pH 7,30, PaCO₂ 58 mmHg (7,7 kPa) and HCO₃⁻ 25 mEq/L (mmol/L). Which problem is the priority?

1. ALoss of bicarbonate from the bowel through severe diarrhea
2. BPoor ventilation causing carbon dioxide to build up
3. CToo much bicarbonate from antacids
4. DHyperventilation caused by anxiety

A nurse teaches a patient about sublingual nitroglycerin tablets. Which statement shows a need for further teaching?

1. A“I will sit down before I take a tablet.”
2. B“I may get a headache after taking a tablet.”
3. C“I will keep the tablets in their original dark container.”
4. D“I will swallow the tablet with a glass of water.”

A chemical cleaning fluid splashes into a patient’s eye. What should the nurse do first?

1. AGive antibiotic eye drops first
2. BRub the eye gently with a clean tissue to remove the chemical
3. CFlush the eye with plenty of water or saline straight away
4. DCover the eye with a dry patch and wait for the provider

A patient at 32 weeks of pregnancy feels dizzy and faint while lying flat on her back. What should the nurse do first?

1. AGive her a sugary drink and keep her flat
2. BTurn her onto her left side
3. CRaise her legs while she stays on her back
4. DSit her upright with her head between her knees