Lembar kerja Prioritas & delegasi dengan jawaban

In delegation, what does supervision mean?

1. AGuidance, follow-up and evaluation of the delegated task by the nurse
2. BDoing every delegated task yourself to make sure that it is done right
3. CSigning the delegate’s documentation without checking it
4. DLeaving the delegate to finish without any contact

An adult without lung disease is breathing room air. Which SpO₂ reading needs action?

1. A97%
2. B89%
3. C99%
4. D96%

A patient’s platelet count is 18,000/mm³ (18 × 10⁹/L). Which risk is the nursing priority?

1. ABleeding
2. BFluid overload
3. CBlood clots
4. DInfection

Tugas mana yang harus didelegasikan perawat kepada asisten keperawatan untuk pasien dengan kewaspadaan jatuh?

1. AMemutuskan apakah alarm tempat tidur masih diperlukan
2. BMembantu pasien ke toilet setiap 2 jam sesuai rencana
3. CMengkaji dan mencatat skor risiko jatuh pasien setiap pagi
4. DMengedukasi keluarga cara mencegah jatuh di rumah

A patient has taken prednisone (prednisolone in many countries) for several months. Which statement shows a need for further teaching?

1. A“I will tell my dentist and other doctors that I take a steroid.”
2. B“I will report signs of infection early.”
3. C“I will take the tablets with food.”
4. D“I will stop the tablets as soon as I feel better.”

Tugas asisten keperawatan mana yang sesuai untuk pasien dua hari setelah penggantian sendi panggul?

1. AMemeriksa insisi untuk kemerahan, rasa hangat, dan drainase
2. BMembantu pasien pindah ke kursi, mengikuti kewaspadaan panggul
3. CMengedukasi pasien tentang kewaspadaan panggul sebelum pulang
4. DMengevaluasi apakah dosis terakhir obat nyeri mengendalikan nyeri

A patient has a chest drain for a pneumothorax. The nurse sees constant bubbling in the water-seal chamber. What does this most likely mean?

1. AThe suction is set too low and needs to be turned up
2. BThe lung has fully re-expanded, so the drain is ready to come out
3. CThe drain is working normally and no action is needed
4. DAn air leak in the patient or the system that needs checking

A patient at 36 weeks of pregnancy has sudden severe abdominal pain, a hard, board-like uterus and dark vaginal bleeding. What should the nurse suspect?

1. AA urinary tract infection
2. BNormal labor contractions starting
3. CPlacenta previa, which is usually painless
4. DPlacental abruption, which is an emergency