Lembar kerja Prioritas & delegasi dengan jawaban

Bila hal lain sama, masalah mana yang biasanya diprioritaskan?

1. AMasalah yang paling singkat waktu penyelesaiannya
2. BMasalah akut yang baru
3. CMasalah kronis yang sudah lama, karena memengaruhi lebih banyak kehidupan pasien
4. DMasalah yang paling dikhawatirkan keluarga

Which patient needs a single room with airborne precautions?

1. AA patient with a urinary tract infection and a catheter
2. BA patient with a fractured femur
3. CA patient with type 2 diabetes
4. DA patient with suspected pulmonary tuberculosis

Tugas mana yang biasanya dapat didelegasikan perawat terdaftar (RN) kepada tenaga asisten tanpa lisensi (UAP), seperti asisten keperawatan?

1. AMengevaluasi respons pasien terhadap obat nyeri
2. BMengajarkan pasien cara menyuntik insulin baru
3. CMelakukan pengkajian saat masuk pada pasien baru
4. DMengukur tanda-tanda vital pada pasien yang stabil

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

A patient is in skeletal traction. Which finding needs the nurse to act?

1. AThe weights are resting on the floor
2. BThe weights are hanging freely
3. CThe ropes are in the pulleys
4. DThe patient’s body is in line with the traction

A patient with a valid do-not-resuscitate order (DNR; called DNACPR in the UK) stops breathing and has no pulse. What should the nurse do?

1. AStart chest compressions but not rescue breaths
2. BCall the cardiac arrest team and let them decide
3. CFollow the DNR order and do not start CPR
4. DStart CPR and stop when the family arrives

A patient with a severe asthma attack had a PaCO₂ of 32 mmHg (4,3 kPa) on arrival. An hour later it is 46 mmHg (6,1 kPa), and the patient seems tired. What does this suggest?

1. ARespiratory muscle fatigue with possible impending respiratory failure
2. BA laboratory error that should be ignored
3. CThe asthma is improving, because the PaCO₂ is now near normal
4. DThe patient is hyperventilating even more than before and needs calming

Pasien mana yang memerlukan perhatian perawat lebih dulu?

1. APasien yang mengatakan ini "sakit kepala terburuk dalam hidup saya" yang dimulai mendadak, dengan tekanan darah 170/100 mmHg
2. BPasien migrain yang diketahui dengan sakit kepala seperti biasanya
3. CPasien nyeri punggung kronis yang meminta kompres hangat
4. DPasien hipertensi lama dengan tekanan darah 158/94 mmHg dan tanpa gejala