Lembar kerja Prioritas & delegasi dengan jawaban

What does NPO mean on a patient’s care plan?

1. ANormal patient observations
2. BNot for physical therapy
3. CNo pain observed
4. DNothing by mouth

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

1. A18%
2. B36%
3. C1%
4. D9%

In US units, which blood urea nitrogen (BUN) result is within the normal adult range?

1. A45 mg/dL
2. B2 mg/dL
3. C15 mg/dL
4. D70 mg/dL

A nurse teaches a patient who uses crutches. Which statement shows a need for further teaching?

1. A“I will take my weight on my hands, not on my armpits.”
2. B“I will keep the crutch tips in good condition.”
3. C“I will remove loose rugs from the floor at home.”
4. D“I will lean on the crutch pads under my arms to rest.”

Seorang perawat melihat asisten keperawatan mengukur tekanan darah dengan manset yang jelas terlalu kecil. Apa yang harus dilakukan perawat?

1. AMengabaikannya, karena satu pembacaan tinggi tidak akan berarti
2. BSegera turun tangan, mengoreksi teknik dengan bijaksana, dan mengukur ulang
3. CMencopot asisten dari perawatan pasien untuk hari itu
4. DMenyebutkannya nanti pada penilaian tahunan asisten berikutnya

On the first day after abdominal surgery, a patient has a temperature of 37,9 °C and reduced breath sounds at the lung bases. Which nursing action is most helpful?

1. ARestrict oral fluids so that the lungs do not fill up with extra fluid
2. BEncourage deep breathing, coughing and use of the incentive spirometer
3. CKeep the patient lying flat in bed to rest the incision fully
4. DGive a cough suppressant so that the incision is not strained

After the RN taught a patient to inject insulin, an LPN/LVN reports that the patient still cannot draw up the dose correctly. What should happen next?

1. AThe patient is discharged with a leaflet to read at home
2. BThe nursing assistant shows the patient again at lunch
3. CThe LPN/LVN writes a new teaching plan and evaluates it at the end of the shift
4. DThe RN reassesses the patient’s learning needs and adjusts the teaching

Seorang perawat menganggap dosis yang diresepkan tidak aman. Penulis resep mengatakan agar tetap diberikan. Apa yang harus dilakukan perawat?

1. AMenahan dosis dan melakukan eskalasi melalui rantai komando
2. BMelewatkan dosis diam-diam dan tidak mengatakan apa-apa untuk menghindari konflik
3. CMemberikan setengah dosis sebagai kompromi dan mendokumentasikan alasannya
4. DMemberikan dosis tersebut, karena penulis resep kini bertanggung jawab atasnya