Lembar kerja Prioritas & delegasi dengan jawaban

Pernyataan mana yang paling tepat menggambarkan pendelegasian dalam keperawatan?

1. AMemberikan wewenang kepada orang yang kompeten untuk tugas tertentu, sementara perawat tetap bertanggung jawab
2. BMenolak tugas karena berada di luar peran sendiri
3. CMeminta dokter mengambil alih tugas yang terlalu sibuk untuk dikerjakan perawat
4. DMenyerahkan seluruh tanggung jawab dan akuntabilitas atas pasien kepada orang lain

Which term describes a patient who is unable to understand and decide about their own care?

1. AExercising autonomy
2. BFully competent
3. CProviding valid informed consent
4. DLacking decision-making capacity

Which blood pressure in an adult suggests hypotension?

1. A126/82 mmHg
2. B118/76 mmHg
3. C110/70 mmHg
4. D82/48 mmHg

A nurse teaches a patient who uses crutches. Which statement shows a need for further teaching?

1. A“I will remove loose rugs from the floor at home.”
2. B“I will lean on the crutch pads under my arms to rest.”
3. C“I will take my weight on my hands, not on my armpits.”
4. D“I will keep the crutch tips in good condition.”

A nurse teaches a patient who uses home oxygen. Which statement shows a need for further teaching?

1. A“I will put up no-smoking signs at the front door and in my room.”
2. B“My husband can smoke in my room if the window is open.”
3. C“I will keep the oxygen away from the gas stove.”
4. D“I will not use oil-based creams on my face.”

A patient coughs hard after abdominal surgery, and loops of bowel appear through the opened wound. What does the nurse do first?

1. ALeave the wound uncovered so the surgeon can see it on arrival
2. BHelp the patient walk to the toilet to relieve abdominal pressure
3. CPush the bowel gently back into the abdomen with a gloved hand
4. DCover the wound with sterile dressings moistened with saline

A patient at 34 weeks of pregnancy has painless, bright red vaginal bleeding. Which action should the nurse avoid?

1. AMeasuring the blood pressure and pulse
2. BA vaginal examination
3. CMonitoring the fetal heart rate
4. DWeighing the pads to estimate blood loss

After a vaginal birth, the uterus is firm and central, but bright red blood keeps trickling steadily. What should the nurse suspect?

1. AA full bladder pushing the uterus aside
2. BUterine atony that needs more massage
3. CNormal lochia for the first hour
4. DA tear in the birth canal or cervix