Lembar kerja Prioritas & delegasi dengan jawaban

Secara umum, jenis masalah mana yang ditangani sebelum yang lain?

1. AMasalah yang tercantum dalam rencana asuhan yang lebih lama
2. BMasalah risiko yang mungkin berkembang nanti
3. CMasalah aktual yang dialami pasien sekarang
4. DKebutuhan belajar untuk pemulangan

Which serum creatinine result suggests reduced kidney function in an adult?

1. A0,7 mg/dL (about 60 µmol/L)
2. B0,8 mg/dL (about 70 µmol/L)
3. C1,0 mg/dL (about 90 µmol/L)
4. D3,5 mg/dL (about 310 µmol/L)

Which blood pressure in an adult suggests hypotension?

1. A110/70 mmHg
2. B126/82 mmHg
3. C118/76 mmHg
4. D82/48 mmHg

After a hip replacement using a posterior approach, which statement shows a need for further teaching?

1. A“I will use a raised toilet seat at home.”
2. B“I will keep a pillow between my knees when I lie on my side in bed.”
3. C“I will not bend my hip past 90 degrees.”
4. D“I will cross my legs when I sit, so I am more comfortable.”

One day after surgery, a patient walked safely with the RN this morning. The RN now asks a nursing assistant to walk her again. Which instruction is most important?

1. A“Stop and call me at once if she feels dizzy or short of breath.”
2. B“Make sure she wears her own slippers if she has them.”
3. C“Try to finish the walk before the lunch trays arrive.”
4. D“Walk her to the end of the corridor and back twice before lunch.”

A patient on a nasal cannula at 6 L/min still has a low SpO₂. What should the nurse do?

1. ARecheck the SpO₂ at the next routine set of observations in four hours
2. BReport it, because a different oxygen device is likely to be needed
3. CTurn the nasal cannula up to 15 L/min
4. DRemove the oxygen to see if the SpO₂ changes

Seorang pasien gagal jantung sesak napas dengan ronki di kedua paru. Urutan tindakan mana yang benar?

1. ABaringkan pasien datar untuk beristirahat, lalu mulai cairan rumatan IV
2. BBerikan obat oral terjadwal lebih dulu, lalu dudukkan pasien
3. CTimbang pasien lebih dulu, lalu nilai ulang pernapasan dalam empat jam
4. DDuduk tegak, berikan oksigen sesuai resep, lalu hubungi pemberi layanan

An adult has burns over 40% of the body with no signs of airway injury. Which treatment is the priority during the first hours?

1. ALarge-volume IV fluids with close monitoring of urine output
2. BStarting physiotherapy to prevent contractures straight away
3. CGiving a high-protein meal to support healing
4. DApplying antibiotic cream to all the burns before anything else