Lembar kerja Prioritas & delegasi dengan jawaban

In nursing management, what is an “assignment”?

1. AA written order from a prescriber for a treatment
2. BHanding legal accountability for a patient over to a nursing colleague
3. CAsking a colleague to do a task outside their usual scope
4. DGiving staff care activities that are within their own role and scope

Dalam penetapan prioritas, temuan yang "diharapkan" adalah temuan yang:

1. ASelalu memerlukan panggilan segera ke tim respons cepat
2. BSelalu berada dalam rentang rujukan normal orang dewasa
3. CSesuai dengan kondisi atau pengobatan pasien yang diketahui
4. DTelah diperkirakan oleh pasien atau keluarga

What is the usual adult reference range for serum potassium?

1. AAbout 1,5–2,5 mEq/L
2. BAbout 135–145 mEq/L
3. CAbout 3,5–5,0 mEq/L
4. DAbout 6,0–8,0 mEq/L

Which patient with diabetes should the nurse see first?

1. ANeeds foot care teaching before discharge tomorrow
2. BGlucose 210 mg/dL (11,7 mmol/L) after a large lunch, feels well
3. CHbA1c result of 8,2%, asking about diet
4. DGlucose 48 mg/dL (2,7 mmol/L), sweating and confused

A drowsy patient who has just returned from surgery starts to vomit. What should the nurse do first?

1. AGive an oral anti-sickness tablet
2. BRaise the legs above the heart
3. CGive a drink of water
4. DTurn the patient onto their side

A patient with a spinal cord injury at T4 suddenly has a severe headache, flushing above the injury and a blood pressure of 200/110 mmHg. What does the nurse do first?

1. ASit the patient upright with the legs lowered
2. BApply extra blankets to keep the patient warm and calm
3. CGive a warm drink and recheck the blood pressure in an hour
4. DLay the patient flat with the legs raised

At 08:00 a nurse has four tasks. Which order is best?

1. ACheck the patient with a falling SpO₂, give insulin with breakfast, give routine medications, update care plans
2. BUpdate care plans, give insulin with breakfast, give routine medications, check the patient with a falling SpO₂
3. CGive insulin with breakfast, update care plans, check the patient with a falling SpO₂, give routine medications
4. DGive routine medications, check the patient with a falling SpO₂, update care plans, give insulin with breakfast

A nurse must care for a patient with a radioactive implant. Which approach best limits the nurse’s exposure?

1. ALimit time in the room, keep as far away as possible and use shielding
2. BWear a surgical mask to block the radiation
3. CStand close to the patient to finish care faster
4. DSpend longer in the room each time but visit less often during the shift