Lembar kerja Prioritas & delegasi dengan jawaban

After caring for a patient with Clostridioides difficile diarrhea, how should the nurse clean their hands?

1. ANo hand hygiene is needed if gloves were worn
2. BUse alcohol hand rub only
3. CWash with soap and water
4. DWipe hands on a clean towel

Dalam pendelegasian, apa arti "pengawasan dan evaluasi yang benar"?

1. AKepala ruangan mengesahkan semua tugas yang didelegasikan di akhir giliran jaga
2. BPerawat mengawasi setiap detik setiap tugas yang didelegasikan
3. CPerawat menindaklanjuti, mengintervensi bila perlu, dan memeriksa hasilnya
4. DPenerima delegasi memeriksa dan mengesahkan pekerjaannya sendiri sesudahnya

Does asking a patient directly about suicidal thoughts increase their risk?

1. AOnly when the question is asked in writing
2. BNo; asking directly is safe and helps assess the risk
3. CYes; asking about it may give the patient the idea
4. DOnly if the patient is over 65 years old

After a hip replacement, a patient has sudden severe hip pain, and the operated leg looks shorter and turned. What should the nurse suspect?

1. ADislocation of the new hip
2. BA pressure injury on the heel
3. CNormal pain after surgery
4. DA urinary tract infection

Seorang perawat yang biasanya bekerja di bagian kebidanan ditugaskan sementara ke unit penyakit dalam dewasa. Pasien mana yang paling tepat ditugaskan kepada perawat ini?

1. APasien pneumonia yang stabil dengan antibiotik oral
2. BPasien dengan trakeostomi baru
3. CPasien dengan perdarahan saluran cerna atas yang aktif
4. DPasien dengan infus insulin kontinu untuk ketoasidosis diabetik

A nursing assistant tells the RN that a patient’s IV pump is alarming. What is the best response?

1. A“Increase the rate a little so the alarm clears.”
2. B“Silence the alarm and I will check it at the end of the shift.”
3. C“Turn the pump off and on again until it stops.”
4. D“I will come and check the pump and the IV site now.”

Two weeks after birth, a mother says she hears voices telling her the baby is evil. What is the priority?

1. ALeave her alone with the baby to bond
2. BAdvise more sleep and book a routine follow-up visit for next month
3. CReassure her that this is normal “baby blues”
4. DKeep the mother and baby safe and arrange urgent psychiatric care

Di unit bedah, pasien pascaoperasi mana yang harus ditemui perawat lebih dulu?

1. A2 hari setelah pembuatan kolostomi: stoma lembap dan merah muda, keluaran sedikit
2. BSetelah operasi prostat dengan irigasi kandung kemih: urine merah muda muda, tanpa bekuan
3. C6 jam setelah endarterektomi karotis: pembengkakan leher bertambah, mengatakan sulit menelan
4. D2 hari setelah penggantian sendi panggul: nyeri 5/10 saat bergerak, analgesik diberikan 1 jam yang lalu