Lembar kerja Prioritas & delegasi dengan jawaban

Dalam hierarki Maslow, tingkat mana yang datang tepat setelah kebutuhan fisiologis?

1. ARasa aman dan perlindungan
2. BAktualisasi diri
3. CKasih sayang dan rasa memiliki
4. DPenghargaan dan pengakuan

When is a patient most ready to learn about self-care?

1. AWhen pain is controlled and basic physical needs are met
2. BStraight after hearing bad news about a serious new diagnosis
3. CDuring a period of acute breathlessness
4. DWhile in severe pain, so the lesson feels important

Temuan mana yang merupakan masalah jalan napas?

1. ARonki basah halus terdengar di dasar kedua paru saat inspirasi
2. BPembengkakan lidah dan bibir dengan suara serak
3. CNyeri perut dengan skala 8/10
4. DNadi radialis yang lemah dan halus

Which action helps prevent a catheter-associated urinary tract infection?

1. ARaising the drainage bag above the bladder when walking
2. BLeaving the catheter in place longer than needed
3. CKeeping the drainage bag below the level of the bladder
4. DDisconnecting the bag every shift to empty it

On the first day after abdominal surgery, a patient has a temperature of 37,9 °C and reduced breath sounds at the lung bases. Which nursing action is most helpful?

1. AGive a cough suppressant so that the incision is not strained
2. BKeep the patient lying flat in bed to rest the incision fully
3. CEncourage deep breathing, coughing and use of the incentive spirometer
4. DRestrict oral fluids so that the lungs do not fill up with extra fluid

Which SBAR recommendation is the clearest?

1. A“I will keep watching him and call again tomorrow.”
2. B“He seems a bit off tonight, so maybe you could come up and do something about it.”
3. C“I would like you to see him within 15 minutes and consider a fluid bolus.”
4. D“I just wanted to let you know about him.”

Pasien mana di unit ginjal yang harus ditemui perawat lebih dulu?

1. APasien yang fistula arteriovenosanya memiliki getaran (thrill) dan bruit yang kuat
2. BPasien dialisis peritoneal yang cairan drainasenya jernih
3. CPasien hemodialisis yang melewatkan sesi kemarin dan kini mengalami kelemahan otot dan nadi tidak teratur
4. DPasien yang meminta saran tentang diet rendah fosfat

During a power cut, which patient is the nurse’s first priority?

1. AA patient who depends on a ventilator
2. BA patient whose bed will not raise electrically
3. CA patient whose call light is not working
4. DA patient watching television when it switched off