Lembar kerja Prioritas & delegasi dengan jawaban

Secara umum, jenis masalah mana yang ditangani sebelum yang lain?

1. AMasalah risiko yang mungkin berkembang nanti
2. BKebutuhan belajar untuk pemulangan
3. CMasalah yang tercantum dalam rencana asuhan yang lebih lama
4. DMasalah aktual yang dialami pasien sekarang

In mmHg, what is the normal range for arterial PaCO₂?

1. A35–45 mmHg
2. B80–100 mmHg
3. C7,35–7,45 mmHg
4. D22–26 mmHg

Who is responsible for developing the nursing plan of care?

1. AThe registered nurse
2. BThe LPN/LVN alone
3. CThe nursing assistant
4. DThe ward clerk

A patient taking warfarin has an INR of 5,2 and no signs of bleeding. What should the nurse do?

1. AEncourage the patient to take aspirin for pain
2. BGive a double dose to correct the result
3. CGive the usual dose and recheck the INR next month
4. DHold the warfarin dose and inform the provider

Seorang perawat menerima empat lampu panggilan sekaligus. Pasien mana yang didatangi perawat lebih dulu?

1. APasien yang bertanya jam berapa dokter akan datang
2. BPasien yang pompa infusnya berbunyi karena kantong cairan rumatan sudah habis
3. CPasien yang meminta obat nyeri untuk nyeri 4/10
4. DPasien yang berkata, "Saya tidak bisa menarik napas."

A nurse teaches a patient about storing insulin at home. Which statement shows a need for further teaching?

1. A“I will check the expiry date on the label before I use the vial.”
2. B“I will not leave my insulin in a hot car.”
3. C“I will keep my spare insulin in the freezer so it lasts longer.”
4. D“I will keep unopened insulin in the fridge.”

An RN has five patients and a nursing assistant. One patient has just become short of breath. Which task should the RN delegate so that the RN can go to that patient?

1. AExplaining the new diagnosis to the breathless patient’s family
2. BAssessing the breathless patient’s lung sounds
3. CGiving the breathless patient’s IV furosemide
4. DMorning vital signs on the four stable patients

An infant is choking and cannot cry or breathe. Which technique is correct?

1. AHolding the infant upside down by the feet
2. BAbdominal thrusts, as in adults
3. CA blind finger sweep of the mouth
4. DBack blows and chest thrusts