Lembar kerja Prioritas & delegasi dengan jawaban

After caring for a patient with Clostridioides difficile diarrhea, how should the nurse clean their hands?

1. ANo hand hygiene is needed if gloves were worn
2. BUse alcohol hand rub only
3. CWipe hands on a clean towel
4. DWash with soap and water

Using the rule of nines, what percentage of body surface does one whole arm represent in an adult?

1. A18%
2. B9%
3. C36%
4. D1%

Which serum creatinine result suggests reduced kidney function in an adult?

1. A1,0 mg/dL (about 90 µmol/L)
2. B0,8 mg/dL (about 70 µmol/L)
3. C3,5 mg/dL (about 310 µmol/L)
4. D0,7 mg/dL (about 60 µmol/L)

Seorang perawat melihat asisten keperawatan mengukur tekanan darah dengan manset yang jelas terlalu kecil. Apa yang harus dilakukan perawat?

1. AMenyebutkannya nanti pada penilaian tahunan asisten berikutnya
2. BMengabaikannya, karena satu pembacaan tinggi tidak akan berarti
3. CMencopot asisten dari perawatan pasien untuk hari itu
4. DSegera turun tangan, mengoreksi teknik dengan bijaksana, dan mengukur ulang

Seorang perawat menemukan pasien di lantai di samping tempat tidur. Apa tindakan pertama?

1. AMengkaji respons pasien dan cedera sebelum memindahkannya
2. BMenelepon keluarga pasien untuk menjelaskan apa yang terjadi
3. CMembuat laporan insiden selagi rincian masih segar
4. DLangsung membantu pasien kembali ke tempat tidur dengan bantuan rekan

A patient has taken prednisone (prednisolone in many countries) for several months. Which statement shows a need for further teaching?

1. A“I will stop the tablets as soon as I feel better.”
2. B“I will take the tablets with food.”
3. C“I will tell my dentist and other doctors that I take a steroid.”
4. D“I will report signs of infection early.”

A patient on a cardiac monitor suddenly becomes unresponsive, and the monitor shows ventricular fibrillation. What is the priority once help has been called?

1. AGive an oral antiarrhythmic tablet and recheck the rhythm in five minutes
2. BDefibrillate as soon as the defibrillator is available, with CPR until then
3. CCheck the blood potassium level before any shock is considered
4. DRecord a full 12-lead ECG to confirm the rhythm before doing anything else at all

After a vaginal birth, the uterus is firm and central, but bright red blood keeps trickling steadily. What should the nurse suspect?

1. AA full bladder pushing the uterus aside
2. BNormal lochia for the first hour
3. CA tear in the birth canal or cervix
4. DUterine atony that needs more massage