Lembar kerja Prioritas & delegasi dengan jawaban

What does the Braden Scale measure?

1. AThe risk of falling during a hospital stay
2. BThe level of consciousness after a head injury
3. CThe severity of alcohol withdrawal symptoms
4. DThe risk of developing a pressure injury

Which drug is used to reverse the effect of warfarin?

1. ANaloxone
2. BFlumazenil
3. CVitamin K
4. DProtamine sulfate

In delegation, what does the “right task” mean?

1. AThe task is the one the nurse likes least
2. BThe task can be finished in under ten minutes
3. CThe task is one that may be delegated for this patient
4. DThe task has been requested by the patient or the patient’s family

A nurse teaches a patient with heart failure. Which statement shows a need for further teaching?

1. A“I add extra salt to my food so it tastes better.”
2. B“I will call if my weight goes up quickly over a day or two.”
3. C“I will take my water tablet in the morning.”
4. D“I will weigh myself every morning after I use the toilet.”

Seorang perawat mendelegasikan tanda-tanda vital rutin kepada asisten keperawatan untuk pasien yang tekanan darahnya terus turun selama satu jam terakhir. Hak pendelegasian mana yang tidak terpenuhi?

1. AKeadaan yang benar
2. BArahan dan komunikasi yang benar
3. COrang yang benar
4. DTugas yang benar, karena tanda-tanda vital tidak pernah dapat didelegasikan

When making patient assignments, what should the charge nurse consider first?

1. AGiving each nurse patients in rooms next to each other
2. BMatching each patient’s needs to staff competence
3. CGiving the newest staff the most complex patients
4. DLetting staff choose the patients they prefer

After cardiac surgery, a patient becomes hypotensive with distended neck veins and muffled heart sounds, and chest drain output has suddenly stopped. What should the nurse suspect?

1. ACardiac tamponade
2. BLeft-sided heart failure
3. CA blocked urinary catheter
4. DHypovolemic shock from dehydration

Which assignment by the charge nurse should be changed?

1. AAn RN is assigned to a patient receiving a blood transfusion
2. BAn LPN/LVN is assigned to admit a new patient from the emergency department
3. CAn LPN/LVN is assigned to give oral medications to stable patients
4. DA nursing assistant is assigned to help several stable patients with their meals