Lembar kerja Prioritas & delegasi dengan jawaban

In US patient-safety terms (The Joint Commission), what is a sentinel event?

1. AA minor error that was noticed but caused no harm at all
2. BA routine handover between shifts
3. CAn unexpected event that causes death or serious harm
4. DA planned admission to intensive care

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

1. APenghargaan dan pengakuan
2. BKasih sayang dan rasa memiliki
3. CRasa aman dan perlindungan
4. DAktualisasi diri

Which value is the usual target INR for a patient taking warfarin for atrial fibrillation?

1. A0,5–1,0
2. B6,0–7,0
3. C2,0–3,0
4. D4,0–5,0

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 not bend my hip past 90 degrees.”
3. C“I will cross my legs when I sit, so I am more comfortable.”
4. D“I will keep a pillow between my knees when I lie on my side in bed.”

A patient’s peripheral IV site is swollen, pale and cool, and the infusion has slowed. What should the nurse do first?

1. AFlush the cannula hard to clear the blockage
2. BApply a tight bandage over the site to reduce swelling
3. CStop the infusion and remove the cannula
4. DIncrease the infusion rate to overcome the resistance

An older patient who has been constipated for days now has small amounts of liquid stool leaking. What should the nurse suspect?

1. AA side effect of drinking too much water
2. BFecal impaction with liquid stool passing around it
3. CThe constipation has fully resolved
4. DA new bowel infection that has caused the diarrhea

At the end of a shift, the nurse’s relief has not arrived and the patients are acutely ill. What should the nurse do?

1. AAsk a nursing assistant to watch the patients until someone comes
2. BStay and tell the charge nurse, and hand over before leaving
3. CLeave on time, because the shift has officially ended
4. DLeave a written note at the station and go home

Temuan pasien mana yang tidak terduga dan perlu tindakan setelah reseksi prostat transuretra dengan irigasi kandung kemih kontinu?

1. AUrine merah terang dengan bekuan dan aliran keluar kateter yang berkurang
2. BPerasaan ingin berkemih meskipun terpasang kateter
3. CSpasme kandung kemih ringan yang mereda dengan obat antispasmodik yang diresepkan
4. DUrine merah muda muda yang menjadi lebih jernih sepanjang hari