Lembar kerja Prioritas & delegasi dengan jawaban

Which task is appropriate to delegate to a nursing assistant for an immobile but stable patient?

1. AChoosing which wound dressing to use
2. BTurning and repositioning the patient every 2 hours
3. CPlanning the patient’s skin care
4. DDeciding whether a pressure injury has got worse since yesterday

Once a nursing assistant has accepted a delegated task, who is responsible for doing it correctly?

1. AThe patient receiving the care
2. BThe assistant who accepted the task
3. CNobody, once the task has been delegated
4. DOnly the nurse manager

Which strategy helps a nurse organize care at the start of a shift?

1. AWait until problems come up and then decide what to do
2. BRank the tasks by urgency after report and plan the time around them
3. CDo the quickest tasks first so the list gets shorter
4. DDo the tasks in strict order of room number, whatever their urgency

Which patient is at the highest risk of falling?

1. AA 60-year-old admitted for chest pain that has since been ruled out by tests
2. BA 30-year-old after an appendectomy who walks with steady steps
3. CA 45-year-old with asthma who is alert and independent
4. DAn 84-year-old taking a diuretic who has fallen before and gets up at night

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

1. AMembantu pasien pindah ke kursi, mengikuti kewaspadaan panggul
2. BMengevaluasi apakah dosis terakhir obat nyeri mengendalikan nyeri
3. CMemeriksa insisi untuk kemerahan, rasa hangat, dan drainase
4. DMengedukasi pasien tentang kewaspadaan panggul sebelum pulang

A nurse gives IV morphine for severe pain. When should the nurse reassess the pain and sedation?

1. AWithin about 15–30 minutes
2. BAt the next routine round in four hours
3. CAt the end of the shift
4. DOnly when the patient asks for more

Seorang pasien dengan trakeostomi baru batuk, napasnya berbunyi, dan SpO₂ turun menjadi 86%. Apa tindakan pertama?

1. AMemberikan bronkodilator nebulisasi
2. BMengganti pengikat trakeostomi
3. CMengisap (suction) trakeostomi
4. DMendokumentasikan SpO₂ dan memeriksa ulang dalam 30 menit

Seorang pasien dengan kateter vena sentral tiba-tiba sesak napas, nyeri dada, dan SpO₂ turun saat jalur sedang dilepas. Apa yang pertama kali dilakukan perawat?

1. AMendudukkan pasien tegak dan menyelesaikan pelepasan jalur dengan cepat
2. BMeminta pasien menarik napas dalam yang lambat dan melanjutkan
3. CMenutup lokasi, memiringkan ke kiri dengan kepala di bawah, memberikan oksigen, dan memanggil bantuan
4. DMembilas kateter dengan salin untuk membersihkan sumbatan