Lembar kerja Prioritas & delegasi dengan jawaban

Masalah pasien mana yang umumnya memiliki prioritas tertinggi?

1. ANyeri akut
2. BDefisit pengetahuan tentang obat
3. CKecemasan
4. DObstruksi jalan napas

Dalam kerangka ABC, masalah mana yang merupakan masalah sirkulasi?

1. AFrekuensi napas 32/menit
2. BStridor
3. CPerdarahan yang tidak terkendali
4. DKecemasan

What is the CIWA scale used to assess?

1. AThe severity of alcohol withdrawal
2. BThe severity of a newborn’s jaundice
3. CThe risk of a pressure injury
4. DThe depth of a burn wound

A patient has a reddened area on the sacrum that does not blanch when pressed. What is the priority action?

1. AMassage the area firmly to improve the blood flow to the skin
2. BApply a heat pad to the area to increase circulation
3. CRelieve pressure on the area by changing position regularly
4. DKeep the patient lying on the back to protect the area

A patient speaks little English, and the nurse needs to explain a new procedure. What is the best way to communicate?

1. ASpeak loudly and slowly in English
2. BUse a professional medical interpreter
3. CUse hand gestures and hope the patient understands
4. DAsk the patient’s 10-year-old child to translate

A swimmer is found unresponsive after diving into shallow water. Which method should the nurse use to open the airway?

1. AJaw thrust, keeping the head and neck in line
2. BRaising the chin while bending the neck forward
3. CHead-tilt, chin-lift with full neck extension
4. DTurning the head to the side to drain water

A patient has a potassium of 7,0 mEq/L with peaked T waves. Several drugs are prescribed. Which one is usually given first to protect the heart?

1. AIV calcium gluconate
2. BOral sodium bicarbonate
3. CIV furosemide
4. DOral potassium binder

Empat pasien tiba di instalasi gawat darurat bersamaan. Siapa yang harus dilihat lebih dulu?

1. AOrang dewasa dengan migrain dan tekanan darah 150/90 mmHg
2. BRemaja dengan luka sayat di lengan yang perdarahannya terkendali
3. COrang dewasa dengan pergelangan kaki berubah bentuk dan nadi normal di kaki
4. DAnak 2 tahun yang air liurnya menetes, duduk condong ke depan, dan memiliki stridor