Lembar kerja Prioritas & delegasi dengan jawaban

What is the usual adult reference range for serum potassium?

1. AAbout 6,0–8,0 mEq/L
2. BAbout 135–145 mEq/L
3. CAbout 3,5–5,0 mEq/L
4. DAbout 1,5–2,5 mEq/L

What are Kussmaul respirations?

1. ASlow, shallow breathing after an opioid overdose
2. BNoisy, high-pitched breathing caused by a blocked upper airway
3. CShort pauses in breathing during normal sleep
4. DDeep, rapid breathing seen in metabolic acidosis such as DKA

Kebutuhan pasien mana yang termasuk tingkat rasa aman dalam hierarki Maslow?

1. APerlindungan dari jatuh
2. BPengakuan dari orang lain
3. CPersahabatan
4. DOksigen

A patient has a nasogastric tube on suction. Which task can the nurse delegate to a nursing assistant?

1. AIrrigating the tube when it blocks
2. BGiving mouth care
3. CChecking the tube’s position
4. DAssessing the drainage for blood

A patient is receiving opioids after surgery. Which finding usually comes before opioid-induced respiratory depression?

1. AA rise in blood pressure with flushed cheeks
2. BA sudden rise in pain scores
3. CIncreased appetite and thirst
4. DIncreasing sleepiness that is hard to rouse

A patient wants to leave the hospital against medical advice. What should the nurse do?

1. ALock the door so the patient cannot leave the unit
2. BInform the provider, explain the risks and document the discussion
3. CLet the patient leave without telling anyone
4. DHide the patient’s clothes and belongings until the provider arrives

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

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

Anak mana yang harus ditemui perawat lebih dulu?

1. AAnak usia sekolah dengan gips di kaki yang meminta minum
2. BBalita dengan suhu 38,4 °C yang sedang bermain dengan mainan
3. CBayi dengan RSV yang mengalami napas cuping hidung, retraksi dada, dan SpO₂ 89%
4. DRemaja dengan asma yang puncak arus ekspirasinya 90% dari nilai terbaik pribadinya