Lembar kerja Prioritas & delegasi dengan jawaban

Kebutuhan pasien mana yang termasuk tingkat rasa aman dalam hierarki Maslow?

1. AOksigen
2. BPengakuan dari orang lain
3. CPersahabatan
4. DPerlindungan dari jatuh

Which triage method is designed for children in mass-casualty incidents?

1. AThe APGAR score
2. BThe Glasgow Coma Scale
3. CThe Braden Scale
4. DJumpSTART

What is the purpose of an early warning score, such as the National Early Warning Score (NEWS)?

1. ATo decide the patient’s diet
2. BTo calculate the correct drug doses for each patient
3. CTo measure the patient’s satisfaction with care
4. DTo spot deterioration early from routine vital signs

Seorang pasien mengalami mimisan mendadak, waspada, dan bernapas normal. Apa yang pertama kali dilakukan perawat?

1. AMembaringkan pasien telentang datar dengan bantal di bawah lutut
2. BMenengadahkan kepala dan mengompres es di belakang leher
3. CMeminta pasien menghembuskan hidung kuat-kuat untuk membersihkan bekuan
4. DMendudukkan pasien, mencondongkannya ke depan, dan menjepit bagian lunak hidung

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

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

Selama infus antibiotik IV, seorang pasien mengalami biduran, mengi, dan suara serak. Apa yang pertama kali dilakukan perawat?

1. AMemperlambat infus menjadi setengah kecepatan
2. BMenghentikan infus
3. CMemberikan difenhidramin oral
4. DMendokumentasikan reaksi dalam rekam medis

Using ESI, a stable adult with abdominal pain will need blood tests and a CT scan, but has a heart rate of 130/min. Which statement is correct?

1. AThe nurse should consider level 2 because of the danger-zone vital sign
2. BVital signs never change the ESI level
3. CThe patient is level 4 because the blood tests and the scan count as one resource
4. DThe patient is level 5 because the pain is not severe

The charge nurse overhears four instructions from an RN to a nursing assistant. Which one needs to be corrected?

1. A“Walk him to the bathroom and back, and stay with him the whole time.”
2. B“Help him wash and change, and tell me at once if you see any red or broken skin.”
3. C“Check his glucose before lunch and tell me the number straight away.”
4. D“Check his glucose and give the insulin according to the sliding scale.”