Lembar kerja Prioritas & delegasi dengan jawaban

Which patient needs a single room with airborne precautions?

1. AA patient with suspected pulmonary tuberculosis
2. BA patient with a fractured femur
3. CA patient with a urinary tract infection and a catheter
4. DA patient with type 2 diabetes

In mmHg, what is the normal range for arterial PaCO₂?

1. A7,35–7,45 mmHg
2. B22–26 mmHg
3. C80–100 mmHg
4. D35–45 mmHg

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. CGuidance, follow-up and evaluation of the delegated task by the nurse
4. DDoing every delegated task yourself to make sure that it is done right

Instruksi kepada asisten keperawatan mana yang paling jelas?

1. A"Perhatikan Pak Lee pagi ini dan kabari saya bagaimana keadaannya."
2. B"Kabari saya jika ada yang tampak salah pada Pak Lee selama Anda di dalam."
3. C"Ukur tekanan darah Pak Lee pukul 10,00 dan segera beri tahu saya bila sistoliknya di bawah 100."
4. D"Lakukan tanda vital Pak Lee kapan saja sebelum makan siang dan tuliskan di bagan untuk saya."

Which patient is most suitable for the nurse to assign to a nurse who has just finished orientation?

1. AA patient on a continuous heparin infusion with rising aPTT values
2. BA patient with stable cellulitis on scheduled IV antibiotics
3. CA patient with sepsis whose blood pressure is falling
4. DA patient with a new tracheostomy who needs frequent suctioning

A patient uses patient-controlled analgesia (PCA) after surgery. Which statement by a family member shows a need for further teaching?

1. A“I will press the button for her while she is asleep so she stays comfortable.”
2. B“The pump has limits set by the nurse so she cannot get too much at once.”
3. C“I will tell the nurse if she becomes very sleepy or hard to wake.”
4. D“Only she should press the button when she needs pain relief.”

A day after a femur fracture, a young patient becomes confused and breathless, with small red spots on the chest. What should the nurse suspect?

1. ANormal pain after a fracture
2. BFat embolism syndrome
3. CAlcohol withdrawal
4. DAn allergic reaction to the cast

A patient’s serum potassium is 6,1 mEq/L. Which of the patient’s medications should the nurse question first?

1. ASpironolactone
2. BHydrochlorothiazide
3. CFurosemide
4. DOmeprazole