Lembar kerja Prioritas & delegasi dengan jawaban

Which of these is one of the standard “rights” of medication administration?

1. ARight ward
2. BRight patient
3. CRight colleague
4. DRight brand

What does the Braden Scale measure?

1. AThe risk of developing a pressure injury
2. BThe risk of falling during a hospital stay
3. CThe level of consciousness after a head injury
4. DThe severity of alcohol withdrawal symptoms

Dalam sistem triase tiga tingkat, pasien dengan pergelangan kaki terkilir, tanda vital normal, dan nyeri ringan biasanya digolongkan sebagai:

1. ATidak mendesak
2. BMendesak
3. CEkspektan
4. DGawat darurat

A swimmer is found unresponsive after diving into shallow water. Which method should the nurse use to open the airway?

1. AHead-tilt, chin-lift with full neck extension
2. BTurning the head to the side to drain water
3. CJaw thrust, keeping the head and neck in line
4. DRaising the chin while bending the neck forward

A patient with diabetes is unresponsive and has a blood glucose of 40 mg/dL (2,2 mmol/L). What should the nurse do first?

1. AGive IV dextrose or glucagon as prescribed
2. BPour orange juice into the patient’s mouth
3. CWait 15 minutes and recheck the glucose
4. DGive the scheduled dose of insulin

A patient at 35 weeks of pregnancy with high blood pressure calls the clinic. Which symptom needs urgent assessment?

1. AA severe headache with blurred vision
2. BBackache after a long walk
3. CNeeding to pass urine more often
4. DMild ankle swelling at the end of the day

Which nursing approach may raise intracranial pressure in a patient with a head injury?

1. ASpacing out care with rest periods in between activities
2. BDoing suctioning, turning and bathing all at the same time
3. CKeeping the room calm and quiet
4. DKeeping the head in line with the body

A patient has central chest pain that started 30 minutes ago at rest and has not eased with rest or nitroglycerin. What does this suggest?

1. AA possible myocardial infarction that needs urgent action
2. BIndigestion that is best treated with an antacid and a glass of milk
3. CMuscle strain that needs a warm compress
4. DStable angina that will pass without treatment