Lembar kerja Prioritas & delegasi dengan jawaban

Secara umum, jenis masalah mana yang ditangani sebelum yang lain?

1. AMasalah risiko yang mungkin berkembang nanti
2. BKebutuhan belajar untuk pemulangan
3. CMasalah yang tercantum dalam rencana asuhan yang lebih lama
4. DMasalah aktual yang dialami pasien sekarang

In US patient-safety terms (The Joint Commission), what is a sentinel event?

1. AAn unexpected event that causes death or serious harm
2. BA routine handover between shifts
3. CA planned admission to intensive care
4. DA minor error that was noticed but caused no harm at all

Pada triase korban massal, kategori mana yang biasanya ditandai label hijau?

1. ACedera ringan: "korban yang masih dapat berjalan"
2. BSegera: memerlukan penanganan saat itu juga
3. CMeninggal atau ekspektan
4. DTertunda: cedera serius tetapi saat ini stabil

A nurse teaches a patient with COPD pursed-lip breathing. Which statement shows a need for further teaching?

1. A“I will breathe in slowly through my nose.”
2. B“I will make my breath out about twice as long as my breath in.”
3. C“I will breathe out slowly through pursed lips.”
4. D“I will breathe in through my mouth and out quickly through my nose.”

A patient has a reddened area on the sacrum that does not blanch when pressed. What is the priority action?

1. AMassage the area firmly to improve the blood flow to the skin
2. BApply a heat pad to the area to increase circulation
3. CRelieve pressure on the area by changing position regularly
4. DKeep the patient lying on the back to protect the area

A nurse teaches a patient about levothyroxine. Which statement shows a need for further teaching?

1. A“I will take it on an empty stomach with a glass of water.”
2. B“I will keep taking it even when I feel well.”
3. C“I will take it at the same time each morning.”
4. D“I will take it at breakfast with my calcium tablet.”

A patient has a chest drain for a pneumothorax. The nurse sees constant bubbling in the water-seal chamber. What does this most likely mean?

1. AThe lung has fully re-expanded, so the drain is ready to come out
2. BThe suction is set too low and needs to be turned up
3. CThe drain is working normally and no action is needed
4. DAn air leak in the patient or the system that needs checking

A patient taking an SSRI is also given tramadol. A few hours later the patient is agitated, sweating and has a fever, jerking muscles and brisk reflexes. What is the most likely cause?

1. AOpioid withdrawal
2. BNeuroleptic malignant syndrome
3. CSerotonin syndrome
4. DAn anxiety attack