Lembar kerja Prioritas & delegasi dengan jawaban

Which of these is one of the standard “rights” of medication administration?

1. ARight brand
2. BRight colleague
3. CRight patient
4. DRight ward

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. C4,0–5,0
4. D2,0–3,0

Di sebagian besar fasilitas, siapa yang melakukan triase pasien baru di instalasi gawat darurat?

1. APerawat terdaftar
2. BAsisten keperawatan
3. CLPN/LVN tanpa keterlibatan RN
4. DPetugas administrasi bangsal

Two nursing assistants argue loudly at the station about their assignments. What is the charge nurse’s best first step?

1. AIgnore it and hope they sort it out
2. BMeet both of them privately to hear each side
3. CChange both of their assignments without any discussion
4. DReport them to human resources at once

An older patient with dementia is restless at night and keeps trying to get out of bed. Which measure should the nurse try first?

1. AApply wrist restraints for the rest of the night
2. BCheck for pain, thirst or a full bladder, and offer toileting
3. CRaise all four bed rails so the patient cannot climb out
4. DGive a sedative from the as-needed list without first assessing the patient

A patient has a reddened area on the sacrum that does not blanch when pressed. What is the priority action?

1. AApply a heat pad to the area to increase circulation
2. BRelieve pressure on the area by changing position regularly
3. CMassage the area firmly to improve the blood flow to the skin
4. DKeep the patient lying on the back to protect the area

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. BUrine merah muda muda yang menjadi lebih jernih sepanjang hari
3. CPerasaan ingin berkemih meskipun terpasang kateter
4. DSpasme kandung kemih ringan yang mereda dengan obat antispasmodik yang diresepkan

An infant with pyloric stenosis has repeated projectile vomiting. Which acid-base imbalance is most likely?

1. ARespiratory alkalosis
2. BMetabolic alkalosis
3. CMetabolic acidosis
4. DRespiratory acidosis