Lembar kerja Prioritas & delegasi dengan jawaban

To which patients do standard precautions apply?

1. AOnly patients with a confirmed infection on a lab test
2. BAll patients, whether or not an infection is known
3. COnly patients with an open wound
4. DOnly patients in intensive care

Masalah pasien mana yang umumnya memiliki prioritas tertinggi?

1. ADefisit pengetahuan tentang obat
2. BKecemasan
3. CObstruksi jalan napas
4. DNyeri akut

What does NPO mean on a patient’s care plan?

1. ANothing by mouth
2. BNo pain observed
3. CNormal patient observations
4. DNot for physical therapy

A patient with mild dysphagia after a stroke is eating. Which technique helps make swallowing safer?

1. ADrinking thin fluids quickly through a straw between bites
2. BLying flat with the head tilted back
3. CSitting upright with the chin tucked down while swallowing
4. DTalking while eating to stay alert

A patient receiving an aminoglycoside antibiotic, such as gentamicin, reports ringing in the ears. What should the nurse do?

1. AHold the next dose and report it promptly
2. BGive the next dose early to finish the course
3. CReassure the patient that it is a normal effect
4. DAdvise the patient to use ear drops

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

A patient with diabetic ketoacidosis is about to start an IV insulin infusion. The serum potassium is 3,0 mEq/L. What should the nurse do?

1. AStart the insulin at once, because the glucose is the bigger problem
2. BGive the insulin as a fast bolus to bring the potassium up
3. CIgnore the result, since potassium is always high in this condition and will correct itself
4. DReport the result before starting, because insulin will push potassium even lower

A patient with diabetes is sweaty and confused, and no glucose meter is available. The patient can swallow. What should the nurse do?

1. AWithhold all food and fluids until a meter is found
2. BGive a dose of rapid-acting insulin in case the glucose is high
3. CTreat for hypoglycemia with fast-acting oral carbohydrate
4. DAsk the patient to lie down and sleep it off