Lembar kerja Prioritas & delegasi dengan jawaban

In the AVPU scale, what does the P mean?

1. AResponds only to pain
2. BPain score below 5
3. CPulse present and regular
4. DPupils equal and reactive

Aturan prioritas umum mana yang benar?

1. AMasalah psikologis selalu didahulukan daripada masalah fisik
2. BMasalah yang mudah diperbaiki selalu didahulukan
3. CMasalah sistemik biasanya didahulukan daripada masalah lokal
4. DMasalah lokal biasanya didahulukan daripada masalah sistemik

Which task is appropriate to delegate to a nursing assistant?

1. AFeeding a stable patient who has no swallowing problems
2. BGiving a stable patient their oral medications
3. CAssessing a pressure injury on the sacrum
4. DFeeding a patient with newly diagnosed dysphagia after a stroke

On a pediatric unit, which child does the nurse assess first?

1. AA child with asthma who is now quiet with very little air movement
2. BA child with croup who has a barking cough but no stridor at rest
3. CA child with a temperature of 38,2 °C after vaccination
4. DA child in a new arm cast with pink, warm fingers and pain of 5/10

A patient taking lithium has vomiting, diarrhea and a new coarse tremor. What should the nurse do?

1. AEncourage the patient to cut down on salt and fluids
2. BReassure the patient that a coarse tremor is expected at first
3. CHold the next dose and report for an urgent lithium level
4. DGive the dose with food to reduce the stomach upset

A patient with schizophrenia says voices are telling him to hurt his roommate. What is the priority?

1. ATell him the voices are not real and leave him alone
2. BIgnore the comment, because voices are part of his illness
3. CKeep everyone safe and tell the team, as the risk of harm is high
4. DAsk the roommate to stay in the room with him and help calm him down

A charge nurse notices that a nurse smells of alcohol and is slurring words at the start of the shift. What is the priority?

1. ALet the nurse work, but only with stable patients
2. BAsk the nurse to drink coffee and then start work
3. CWait until the end of the shift and then discuss the concern with the nurse privately
4. DRemove the nurse from patient care and report it according to policy

A patient at 32 weeks of pregnancy feels dizzy and faint while lying flat on her back. What should the nurse do first?

1. AGive her a sugary drink and keep her flat
2. BTurn her onto her left side
3. CRaise her legs while she stays on her back
4. DSit her upright with her head between her knees