Lembar kerja Prioritas & delegasi dengan jawaban

After caring for a patient with Clostridioides difficile diarrhea, how should the nurse clean their hands?

1. AUse alcohol hand rub only
2. BNo hand hygiene is needed if gloves were worn
3. CWash with soap and water
4. DWipe hands on a clean towel

Di sebagian besar fasilitas, siapa yang melakukan triase pasien baru di instalasi gawat darurat?

1. APerawat terdaftar
2. BAsisten keperawatan
3. CPetugas administrasi bangsal
4. DLPN/LVN tanpa keterlibatan RN

Dalam hierarki Maslow, tingkat mana yang datang tepat setelah kebutuhan fisiologis?

1. AAktualisasi diri
2. BKasih sayang dan rasa memiliki
3. CPenghargaan dan pengakuan
4. DRasa aman dan perlindungan

A patient reports pain of 8/10. Before giving the prescribed as-needed analgesic, what does the nurse do first?

1. AGive the strongest analgesic on the chart straight away
2. BTell the patient to wait until the next scheduled dose is due in two hours
3. CAsk the nursing assistant to reposition the patient
4. DAssess the location, character and onset of the pain and the vital signs

A patient is receiving opioids after surgery. Which finding usually comes before opioid-induced respiratory depression?

1. AA sudden rise in pain scores
2. BIncreasing sleepiness that is hard to rouse
3. CIncreased appetite and thirst
4. DA rise in blood pressure with flushed cheeks

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

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

Seorang pasien setelah operasi besar memiliki keluaran urine 15 mL/jam selama dua jam, denyut jantung 115/menit, dan tangan dingin. Apa yang pertama kali dilakukan perawat?

1. AMembilas kateter dan memeriksa keluaran besok pagi
2. BMenganjurkan pasien minum lebih banyak air dan memeriksa lagi nanti
3. CMenunggu dua jam lagi untuk melihat apakah keluaran membaik
4. DMengkaji tanda-tanda syok, seperti perdarahan, dan melakukan eskalasi

A provider asks a nurse to perform a procedure that is outside the nurse’s scope of practice. What should the nurse do?

1. ADecline, explain why and suggest who can safely do it
2. BDo it just this once and promise the provider not to do it again
3. CAsk a nursing assistant to do it instead
4. DDo it, because the provider gave the instruction