Lembar kerja Prioritas & delegasi dengan jawaban

In which situation can a pulse oximeter give a falsely normal reading?

1. AA healthy adult at rest
2. BA warm, well-perfused finger
3. CA patient breathing room air normally
4. DCarbon monoxide poisoning

What is the purpose of the “time-out” just before a surgical procedure?

1. ATo count the swabs at the end of the operation
2. BTo confirm the correct patient, procedure and site
3. CTo let the family say goodbye to the patient
4. DTo give the surgeon a short rest before the operation starts

Which patient concern belongs to the esteem level of Maslow’s hierarchy?

1. AThirst after a long period of fasting before a test
2. BFear of slipping in the shower
3. CWorry about body image after a mastectomy
4. DMissing friends from home

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

A patient has a new plaster cast that is still drying. How should the nurse handle it?

1. ABy resting it directly on a hard surface
2. BWith the fingertips, pressing firmly to test it
3. CWith the palms of the hands, not the fingertips
4. DBy covering it tightly with a plastic sheet

Straight after birth, what is the first priority for a healthy-looking newborn?

1. AWeigh and measure the baby on the scale
2. BDry and warm the baby while checking that it is breathing
3. CGive the first bath to remove the blood and vernix
4. DGive the vitamin K injection before anything else is done

A nurse sees a colleague put a vial of an opioid into their own pocket instead of returning it. What should the nurse do?

1. AReport it to the nurse manager according to policy
2. BAsk the colleague to share the vial with them
3. CTell the patients to watch the colleague carefully
4. DSay nothing, because it is not their business

Di instalasi gawat darurat, pasien mana yang harus langsung masuk ke ruang tindakan?

1. APerempuan 25 tahun dengan pergelangan tangan terkilir dan tanda vital normal
2. BPria 60 tahun dengan rasa tertekan di dada, berkeringat, dan mual selama 20 menit
3. CPria 45 tahun yang meminta resep ulang
4. DPria 30 tahun dengan nyeri tenggorok dua hari dan suhu 38,0 °C