Lembar kerja Prioritas & delegasi dengan jawaban

Which statement about the nursing process is correct when setting priorities?

1. AEvaluation comes first, before any patient data have been collected
2. BAssessment comes first, because the other steps depend on it
3. CPlanning comes first, before seeing the patient
4. DImplementation comes first, so care starts quickly

Pernyataan mana yang paling tepat menggambarkan pendelegasian dalam keperawatan?

1. AMeminta dokter mengambil alih tugas yang terlalu sibuk untuk dikerjakan perawat
2. BMemberikan wewenang kepada orang yang kompeten untuk tugas tertentu, sementara perawat tetap bertanggung jawab
3. CMenyerahkan seluruh tanggung jawab dan akuntabilitas atas pasien kepada orang lain
4. DMenolak tugas karena berada di luar peran sendiri

Which drug is used to reverse the effect of warfarin?

1. AFlumazenil
2. BNaloxone
3. CVitamin K
4. DProtamine sulfate

A patient is raising his voice, pacing and clenching his fists. What should the nurse do first?

1. AStand very close to him and tell him firmly and loudly to sit down and be quiet
2. BTurn away and ignore the behavior
3. CApply physical restraints at once
4. DSpeak calmly, keep a safe distance and invite him to talk about what is wrong

A patient at 35 weeks of pregnancy with high blood pressure calls the clinic. Which symptom needs urgent assessment?

1. ABackache after a long walk
2. BMild ankle swelling at the end of the day
3. CA severe headache with blurred vision
4. DNeeding to pass urine more often

An older patient becomes confused over a few hours, with attention that comes and goes. What does this suggest?

1. ALong-standing dementia that is expected
2. BNormal aging that needs no action
3. CDelirium, which needs the cause found quickly
4. DA personality change that is permanent and expected

After a head injury, a patient has clear fluid dripping from the nose. Which action should the nurse avoid?

1. AChecking the fluid for glucose or a halo sign on gauze
2. BInforming the provider about the drainage
3. CInserting a tube or suction catheter through the nose
4. DPlacing a loose gauze under the nose

Pada triase START, seorang dewasa yang tidak dapat berjalan bernapas 28 kali per menit, tidak memiliki nadi radialis, dan pengisian kapiler 4 detik. Kategori mana yang diberikan kepada korban?

1. AHitam (ekspektan)
2. BMerah (segera)
3. CHijau (ringan)
4. DKuning (tertunda), karena frekuensi napas di bawah 30/menit