Lembar kerja Prioritas & delegasi dengan jawaban

Which capillary refill time is prolonged in an adult?

1. A4 seconds
2. B1 second
3. CLess than 1 second
4. D2 seconds

What is a “critical value” in laboratory testing?

1. AA result that is slightly outside the normal range and can wait for the ward round
2. BA result that is needed only for research
3. CA result that may be life-threatening and must be reported at once
4. DA result that the patient has asked to see

When is the Apgar score usually assessed?

1. ABefore the baby is born
2. BOnly at 24 hours after birth
3. CAt 1 and 5 minutes after birth
4. DAt the first postnatal clinic visit

A patient’s urinary catheter has drained no urine for two hours, and the lower abdomen is swollen. What should the nurse do first?

1. AGive a prescribed diuretic straight away
2. BCheck the tubing for kinks or obstruction
3. CEncourage the patient to drink more water
4. DRemove the catheter and wait for the patient to void

Instruksi kepada asisten keperawatan mana yang paling jelas?

1. A"Kabari saya jika ada yang tampak salah pada Pak Lee selama Anda di dalam."
2. B"Lakukan tanda vital Pak Lee kapan saja sebelum makan siang dan tuliskan di bagan untuk saya."
3. C"Perhatikan Pak Lee pagi ini dan kabari saya bagaimana keadaannya."
4. D"Ukur tekanan darah Pak Lee pukul 10,00 dan segera beri tahu saya bila sistoliknya di bawah 100."

A patient is receiving continuous tube feeds. Which action best reduces the risk of aspiration?

1. AIncrease the feed rate so the stomach empties sooner
2. BKeep the head of the bed raised to at least 30 degrees
3. CTurn the feed off only while the patient is asleep at night
4. DLay the patient flat for an hour after each bag is hung

A visitor on the ward becomes threatening and shows a knife. What is the nurse’s priority?

1. ATry to take the knife away from the visitor straight away before anyone is hurt
2. BArgue with the visitor to persuade them to leave
3. CMove away to safety, keep others away and call security or the police
4. DIgnore the visitor and carry on with patient care

Seorang perawat mengawasi asisten keperawatan baru. Kapan perawat harus memeriksa pekerjaan asisten dengan paling ketat?

1. ATidak pernah, karena asisten memegang sertifikat untuk peran tersebut
2. BHanya ketika asisten meminta bantuan untuk tugas yang dirasa sulit
3. CKetika asisten baru dalam tugas tersebut atau pasien kurang stabil
4. DHanya di akhir giliran jaga, ketika dokumentasi ditinjau