Lembar kerja Prioritas & delegasi dengan jawaban

Which body temperature is a fever in an adult?

1. A36,4 °C
2. B37,1 °C
3. C38,5 °C
4. D36,8 °C

What does the START in START triage stand for?

1. ASystematic Transfer And Rapid Transport
2. BStandard Treatment And Referral Tool
3. CSimple Triage And Rapid Treatment
4. DStaged Triage And Resuscitation Team

What is the CIWA scale used to assess?

1. AThe risk of a pressure injury
2. BThe severity of a newborn’s jaundice
3. CThe depth of a burn wound
4. DThe severity of alcohol withdrawal

An Rh-negative mother has just given birth to an Rh-positive baby. What does the nurse expect to give the mother?

1. AVitamin K to the mother
2. BA dose of the hepatitis B vaccine instead
3. CRh immunoglobulin within 72 hours
4. DNo treatment is needed

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

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

A patient receives hemodialysis this morning. Which type of medication is often held before dialysis, as prescribed?

1. AInhaled bronchodilators
2. BAntihypertensive drugs
3. CEye drops for glaucoma
4. DTopical skin creams

A patient is deteriorating quickly. The nurse has called the provider twice, but the provider has not come. What is the best action?

1. AWait another hour and call the provider again
2. BActivate the rapid response team
3. CDocument the concern and continue routine care
4. DAsk the patient’s family to call the provider

Seorang pasien gagal jantung sesak napas dengan ronki di kedua paru. Urutan tindakan mana yang benar?

1. ABaringkan pasien datar untuk beristirahat, lalu mulai cairan rumatan IV
2. BTimbang pasien lebih dulu, lalu nilai ulang pernapasan dalam empat jam
3. CDuduk tegak, berikan oksigen sesuai resep, lalu hubungi pemberi layanan
4. DBerikan obat oral terjadwal lebih dulu, lalu dudukkan pasien