Lembar kerja Prioritas & delegasi dengan jawaban

Does asking a patient directly about suicidal thoughts increase their risk?

1. AYes; asking about it may give the patient the idea
2. BOnly if the patient is over 65 years old
3. COnly when the question is asked in writing
4. DNo; asking directly is safe and helps assess the risk

Bila soal prioritas menawarkan pengkajian dan tindakan, mana yang biasanya benar lebih dulu ketika situasinya bukan kegawatdaruratan?

1. AMeminta asisten keperawatan memeriksa pasien
2. BMenghubungi pemberi layanan sebelum melihat pasien
3. CMengkaji pasien untuk mengumpulkan lebih banyak informasi
4. DMendokumentasikan kekhawatiran dalam rekam medis

When is a patient most ready to learn about self-care?

1. ADuring a period of acute breathlessness
2. BStraight after hearing bad news about a serious new diagnosis
3. CWhen pain is controlled and basic physical needs are met
4. DWhile in severe pain, so the lesson feels important

Seorang dewasa stabil dengan tanda vital normal mengalami luka sayat di tangan yang memerlukan jahitan dan tidak ada lagi yang lain. ESI level berapa yang sesuai?

1. ALevel 4
2. BLevel 2
3. CLevel 5
4. DLevel 3

A nurse teaches a patient who has started warfarin. Which statement shows a need for further teaching?

1. A“I will keep my INR blood test appointments.”
2. B“I will use a soft toothbrush.”
3. C“I will tell my dentist and pharmacist that I take warfarin.”
4. D“If I miss a dose, I will take two the next day.”

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. ALoss of bicarbonate from the bowel through severe diarrhea
2. BPoor ventilation causing carbon dioxide to build up
3. CHyperventilation caused by anxiety
4. DToo much bicarbonate from antacids

A nurse returns to the station to find four messages. Which one is answered first?

1. AThe pharmacy asks when the next delivery should be scheduled
2. BA family member wants an update on their father’s progress
3. CThe laboratory is calling with a critical potassium result of 2,6 mEq/L
4. DA colleague asks to swap shifts with them next week because of a family wedding

A patient on peritoneal dialysis has cloudy fluid draining out and abdominal pain. What does this most likely mean?

1. AConstipation that will settle with a laxative later today or tomorrow
2. BA normal finding at the end of each exchange
3. CPeritonitis, which needs prompt reporting and a fluid sample
4. DToo much fluid left in the abdomen after the drain