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 type 2 diabetes
3. CA patient with a fractured femur
4. DA patient with a urinary tract infection and a catheter

What does the START in START triage stand for?

1. AStaged Triage And Resuscitation Team
2. BStandard Treatment And Referral Tool
3. CSystematic Transfer And Rapid Transport
4. DSimple Triage And Rapid Treatment

Tugas mana yang dapat didelegasikan kepada tenaga asisten tanpa lisensi?

1. AMengkaji luka tekan
2. BMengukur dan mencatat keluaran urine pasien
3. CMemutuskan apakah akan menghubungi pemberi layanan tentang suatu temuan
4. DMengedukasi pasien tentang diet rendah natrium

When making patient assignments, what should the charge nurse consider first?

1. AGiving the newest staff the most complex patients
2. BLetting staff choose the patients they prefer
3. CMatching each patient’s needs to staff competence
4. DGiving each nurse patients in rooms next to each other

A patient is in skeletal traction. Which finding needs the nurse to act?

1. AThe ropes are in the pulleys
2. BThe weights are hanging freely
3. CThe weights are resting on the floor
4. DThe patient’s body is in line with the traction

During labor, the nurse sees the umbilical cord in the vagina after the membranes rupture. What is the first action?

1. AWait for the next contraction before acting
2. BRelieve pressure on the cord by lifting the presenting part with a gloved hand
3. CAsk the patient to walk around the room to bring the baby lower and speed up labor
4. DPush the cord back into the uterus

A patient admitted with a stroke this morning asks for a glass of water. What should the nurse do first?

1. AAsk the family to help the patient drink while sitting upright in a chair at the bedside
2. BCheck that a swallow screen has been done before giving anything by mouth
3. CGive thickened fluids without checking the swallow
4. DGive the water through a straw so it goes down slowly

A patient with COPD on 2 L/min oxygen becomes drowsy and hard to wake. The SpO₂ is 93%. What is the priority?

1. AIncrease the oxygen to 6 L/min so that the saturation goes even higher than now
2. BAssess breathing and escalate for a blood gas, as carbon dioxide may be rising
3. CGive the as-needed sedative so the patient rests comfortably
4. DLet the patient sleep, because the saturation is above target