Lembar kerja Prioritas & delegasi dengan jawaban

What are Kussmaul respirations?

1. AShort pauses in breathing during normal sleep
2. BDeep, rapid breathing seen in metabolic acidosis such as DKA
3. CSlow, shallow breathing after an opioid overdose
4. DNoisy, high-pitched breathing caused by a blocked upper airway

Which fasting blood glucose value is normal for an adult without diabetes?

1. A55 mg/dL (3,1 mmol/L)
2. B85 mg/dL (4,7 mmol/L)
3. C145 mg/dL (8,0 mmol/L)
4. D210 mg/dL (11,7 mmol/L)

Dalam kerangka ABC untuk menetapkan prioritas keperawatan, kebutuhan mana yang ditangani lebih dulu?

1. AJalan napas (Airway)
2. BPernapasan (Breathing)
3. CNyeri
4. DSirkulasi (Circulation)

Seorang perawat meminta asisten keperawatan menggunakan lift mekanis. Asisten mengatakan belum pernah dilatih menggunakannya. Hak pendelegasian mana yang dilanggar bila perawat berkeras?

1. ATugas yang benar
2. BArahan dan komunikasi yang benar
3. COrang yang benar
4. DPengawasan dan evaluasi yang benar

A drowsy patient has an arterial blood gas with pH 7,30, PaCO₂ 58 mmHg (7,7 kPa) and HCO₃⁻ 25 mEq/L (mmol/L). Which problem is the priority?

1. AHyperventilation caused by anxiety
2. BToo much bicarbonate from antacids
3. CLoss of bicarbonate from the bowel through severe diarrhea
4. DPoor ventilation causing carbon dioxide to build up

Pada henti jantung di bangsal, tindakan mana yang pertama setelah memastikan pasien tidak responsif dan tidak bernapas normal?

1. AMencari rekam medis pasien untuk memeriksa status resusitasi sebelum memanggil bantuan
2. BMemberikan dua napas buatan, lalu memeriksa nadi selama satu menit
3. CMemanggil bantuan dan memulai kompresi dada
4. DMengukur tekanan darah

At 08:00 a nurse has four tasks. Which order is best?

1. AGive insulin with breakfast, update care plans, check the patient with a falling SpO₂, give routine medications
2. BUpdate care plans, give insulin with breakfast, give routine medications, check the patient with a falling SpO₂
3. CGive routine medications, check the patient with a falling SpO₂, update care plans, give insulin with breakfast
4. DCheck the patient with a falling SpO₂, give insulin with breakfast, give routine medications, update care plans

A patient taking an MAO inhibitor antidepressant is taught about diet. Which statement shows a need for further teaching?

1. A“I will check with the pharmacist before cold remedies.”
2. B“A sudden severe headache is a warning sign.”
3. C“I can still eat aged cheese and cured salami.”
4. D“I will avoid tap beer and red wine.”