Lembar kerja Prioritas & delegasi dengan jawaban

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

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

In the AVPU scale, what does the P mean?

1. APain score below 5
2. BPulse present and regular
3. CResponds only to pain
4. DPupils equal and reactive

Dalam hierarki Maslow, tingkat mana yang datang tepat setelah kebutuhan fisiologis?

1. AKasih sayang dan rasa memiliki
2. BAktualisasi diri
3. CPenghargaan dan pengakuan
4. DRasa aman dan perlindungan

A nurse has called the rapid response team for a deteriorating patient. What should the nurse do while waiting for the team?

1. AGive a dose of every as-needed medication on the chart
2. BLeave the patient for a few minutes to find the relatives and explain what is happening
3. CGo to the station to finish documentation for other patients
4. DStay with the patient, give oxygen as prescribed and have recent vital signs ready

A drowsy patient has an arterial blood gas with pH 7,30, PaCO₂ 58 mmHg (7,7 kPa) and HCO₃⁻ 25 mEq/L (mmol/L). Which problem is the priority?

1. APoor ventilation causing carbon dioxide to build up
2. BHyperventilation caused by anxiety
3. CLoss of bicarbonate from the bowel through severe diarrhea
4. DToo much bicarbonate from antacids

A patient coughs hard after abdominal surgery, and loops of bowel appear through the opened wound. What does the nurse do first?

1. AHelp the patient walk to the toilet to relieve abdominal pressure
2. BPush the bowel gently back into the abdomen with a gloved hand
3. CCover the wound with sterile dressings moistened with saline
4. DLeave the wound uncovered so the surgeon can see it on arrival

A patient with untreated hyperthyroidism has surgery and develops a temperature of 40 °C, a heart rate of 160/min and severe agitation. What is most likely happening?

1. AOpioid withdrawal
2. BA normal reaction to pain
3. CThyroid storm
4. DMyxedema coma

A victim heavily contaminated with an industrial chemical arrives at the emergency department with stable vital signs. What should happen first?

1. AFull assessment inside the main department straight away
2. BTaking the victim straight to the X-ray department
3. CPlacing the victim in the waiting room until a doctor is free
4. DDecontamination before the victim enters the treatment area