Lembar kerja Prioritas & delegasi dengan jawaban

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

1. ASelalu memerlukan panggilan segera ke tim respons cepat
2. BSelalu berada dalam rentang rujukan normal orang dewasa
3. CTelah diperkirakan oleh pasien atau keluarga
4. DSesuai dengan kondisi atau pengobatan pasien yang diketahui

Using the rule of nines, what percentage of body surface does one whole arm represent in an adult?

1. A18%
2. B9%
3. C36%
4. D1%

What should the nurse try before using physical restraints on a confused patient?

1. ARestraining all four limbs to be fully safe
2. BUsing restraints at once and removing them later if they turn out not to be needed
3. CLess restrictive measures, such as more frequent checks or a bed alarm
4. DAsking the family to bring restraints from home

A nurse cannot read part of a medication order. What should the nurse do?

1. AGive the usual dose of the drug the nurse thinks was meant
2. BContact the prescriber to clarify the order before giving the drug
3. CSkip the drug and not tell anyone until the next ward round
4. DAsk another nurse to guess what the order most likely says, then give it

Tugas mana yang paling tepat didelegasikan RN kepada LPN/LVN?

1. AMemulai unit pertama sel darah merah
2. BMemasang kateter urine menetap pada pasien yang stabil
3. CMelakukan pengkajian saat masuk pada pasien baru
4. DMemberikan edukasi pemulangan kepada pasien yang baru memulai insulin

On day 3 after hip surgery, a patient suddenly becomes short of breath with sharp chest pain and an SpO₂ of 88%. What should the nurse do first?

1. AMassage the patient’s calves to ease any muscle cramp
2. BRaise the head of the bed, give oxygen and call for urgent help
3. CEncourage the patient to walk to improve the circulation
4. DGive the next dose of oral analgesia and reassess the patient in an hour

Before surgery, a nurse is asked to witness a patient’s consent. The patient was given a sedative 30 minutes ago. What should the nurse do?

1. AAsk a family member to sign on the patient’s behalf
2. BWitness it quickly before the sedative takes full effect
3. CNot witness the consent and inform the surgeon
4. DWitness it and write “sedated” beside the signature

After handover on a medical unit, which patient should the nurse see first?

1. ANew atrial fibrillation, heart rate 150/min, blood pressure 86/50 mmHg, dizzy
2. BDeep vein thrombosis on a heparin infusion, aPTT in the target range
3. CDay 2 after a hernia repair, pain 6/10, oral analgesic due in 20 minutes, wants it now
4. DPneumonia on 2 L/min oxygen, SpO₂ 93%, talking in full sentences