Lembar kerja Prioritas & delegasi dengan jawaban

Manakah yang termasuk lima benar (rights) dalam pendelegasian?

1. AWaktu dan frekuensi yang benar
2. BRute dan lokasi penyuntikan yang benar
3. CPengawasan dan evaluasi yang benar
4. DDosis dan kekuatan yang benar

Which task can the RN usually assign to an LPN/LVN?

1. ADoing the admission assessment of a new patient
2. BTriaging a new arrival in the emergency department
3. CChanging the dressing on a stable, healing wound
4. DWriting the patient’s initial plan of care

Which task is appropriate to delegate to a nursing assistant for an immobile but stable patient?

1. AChoosing which wound dressing to use
2. BTurning and repositioning the patient every 2 hours
3. CPlanning the patient’s skin care
4. DDeciding whether a pressure injury has got worse since yesterday

A patient has heart failure. Which instruction about daily weights is best to give the nursing assistant?

1. A“Only weigh him if his ankles look more swollen than they did yesterday afternoon.”
2. B“Weigh him after lunch, fully dressed, with his shoes on.”
3. C“Weigh him each morning before breakfast, on the same scale, and tell me the result.”
4. D“Weigh him at any time today, on whichever scale is free.”

A patient on hemodialysis has an arteriovenous fistula in the left arm. Which instruction should the nurse give the nursing assistant?

1. ADo not measure blood pressure on the left arm
2. BMeasure blood pressure on the left arm only, every 4 hours
3. CKeep the left arm wrapped tightly in a bandage at night
4. DHelp the patient carry shopping bags on the left arm

A child with fever and headache develops a purple rash that does not fade when pressed with a glass. What should the nurse do?

1. AGive acetaminophen (paracetamol) and reassess in four hours
2. BAdvise the family to see their doctor next week
3. CApply a soothing cream to the rash
4. DTreat it as an emergency and escalate at once

A patient was knocked out briefly in a fall, then woke and talked normally. Two hours later the patient becomes drowsy and one pupil is larger. What is the most likely cause?

1. AA mild concussion that is settling
2. BNormal tiredness after a fall
3. CAn epidural hematoma
4. DLow blood sugar from missing a meal

Two hours after a femoral cardiac catheterization, the nurse sees blood spreading from the puncture site. What is the first action?

1. AAsk the patient to bend the leg at the hip to stop the bleeding
2. BRemove the dressing and leave the site open to the air
3. CRaise the head of the bed so the patient can sit up
4. DApply firm, direct pressure just above the puncture site