Lembar kerja Prioritas & delegasi dengan jawaban

Using the PASS method for a fire extinguisher, what is the first step?

1. ASqueeze the handle
2. BAim at the base of the fire
3. CSweep from side to side
4. DPull the pin

Which triage method is designed for children in mass-casualty incidents?

1. AThe Braden Scale
2. BJumpSTART
3. CThe Glasgow Coma Scale
4. DThe APGAR score

Dalam penetapan prioritas, temuan yang "diharapkan" adalah temuan yang:

1. ATelah diperkirakan oleh pasien atau keluarga
2. BSesuai dengan kondisi atau pengobatan pasien yang diketahui
3. CSelalu berada dalam rentang rujukan normal orang dewasa
4. DSelalu memerlukan panggilan segera ke tim respons cepat

Selama infus antibiotik IV, seorang pasien mengalami biduran, mengi, dan suara serak. Apa yang pertama kali dilakukan perawat?

1. AMenghentikan infus
2. BMendokumentasikan reaksi dalam rekam medis
3. CMemperlambat infus menjadi setengah kecepatan
4. DMemberikan difenhidramin oral

A nurse teaches a patient who has started warfarin. Which statement shows a need for further teaching?

1. A“I will tell my dentist and pharmacist that I take warfarin.”
2. B“I will use a soft toothbrush.”
3. C“If I miss a dose, I will take two the next day.”
4. D“I will keep my INR blood test appointments.”

Seorang dewasa stabil mengalami nyeri perut dan tanda vital normal. Ia akan memerlukan pemeriksaan darah dan CT scan. ESI level berapa yang sesuai?

1. ALevel 1
2. BLevel 4
3. CLevel 3
4. DLevel 5

A patient in acute mania paces constantly, has lost weight and will not sit down to eat. Which intervention is most helpful?

1. AOffer high-calorie finger foods and drinks the patient can take while moving
2. BWait until the mania settles before worrying about nutrition
3. CLeave meals in the room and let the patient eat whenever and whatever they choose
4. DInsist that the patient sits at the table until the meal is finished

After a head injury, a patient passes large amounts of very dilute urine, is thirsty and has a rising serum sodium. Which condition is most likely?

1. ADiabetes insipidus
2. BDiabetic ketoacidosis
3. CAcute kidney injury with oliguria
4. DSIADH