Lembar kerja Prioritas & delegasi dengan jawaban

In delegation, what does supervision mean?

1. ASigning the delegate’s documentation without checking it
2. BLeaving the delegate to finish without any contact
3. CDoing every delegated task yourself to make sure that it is done right
4. DGuidance, follow-up and evaluation of the delegated task by the nurse

Temuan mana yang merupakan masalah jalan napas?

1. ANadi radialis yang lemah dan halus
2. BPembengkakan lidah dan bibir dengan suara serak
3. CNyeri perut dengan skala 8/10
4. DRonki basah halus terdengar di dasar kedua paru saat inspirasi

Which finding meets the usual definition of orthostatic hypotension?

1. ASystolic pressure rises by 20 mmHg or more within 3 minutes of standing up
2. BSystolic pressure falls by 20 mmHg or more within 3 minutes of standing
3. CBlood pressure is the same lying and standing
4. DHeart rate falls by 5/min after lying down

An older patient with dementia is restless at night and keeps trying to get out of bed. Which measure should the nurse try first?

1. ACheck for pain, thirst or a full bladder, and offer toileting
2. BGive a sedative from the as-needed list without first assessing the patient
3. CApply wrist restraints for the rest of the night
4. DRaise all four bed rails so the patient cannot climb out

A patient receiving IV magnesium sulfate for pre-eclampsia has absent knee reflexes and a respiratory rate of 10/min. What does the nurse do first?

1. AIncrease the infusion to prevent a seizure
2. BGive oral fluids to help clear the drug faster
3. CStop the magnesium infusion and call for help
4. DTurn the patient onto her back and recheck later

A patient is in skeletal traction. Which finding needs the nurse to act?

1. AThe ropes are in the pulleys
2. BThe weights are hanging freely
3. CThe weights are resting on the floor
4. DThe patient’s body is in line with the traction

A patient who is 7 weeks pregnant has one-sided lower abdominal pain, pain in the shoulder tip, a heart rate of 120/min and a blood pressure of 88/54 mmHg. What is most likely?

1. AA ruptured ectopic pregnancy
2. BSevere morning sickness
3. CA normal early pregnancy
4. DA urinary tract infection

Before surgery, a nurse is asked to witness a patient’s consent. The patient was given a sedative 30 minutes ago. What should the nurse do?

1. ANot witness the consent and inform the surgeon
2. BWitness it quickly before the sedative takes full effect
3. CWitness it and write “sedated” beside the signature
4. DAsk a family member to sign on the patient’s behalf