Lembar kerja Prioritas & delegasi dengan jawaban

Which patient usually fits ESI level 5?

1. AAn adult with chest pain suggesting a heart attack
2. BA stable adult who only needs a repeat prescription
3. CA stable adult who needs blood tests and an X-ray of the chest
4. DAn adult in cardiac arrest

Pada triase korban massal, kategori mana yang biasanya ditandai label hijau?

1. ASegera: memerlukan penanganan saat itu juga
2. BCedera ringan: "korban yang masih dapat berjalan"
3. CTertunda: cedera serius tetapi saat ini stabil
4. DMeninggal atau ekspektan

Tugas mana yang dapat didelegasikan kepada tenaga asisten tanpa lisensi?

1. AMengkaji luka tekan
2. BMengedukasi pasien tentang diet rendah natrium
3. CMengukur dan mencatat keluaran urine pasien
4. DMemutuskan apakah akan menghubungi pemberi layanan tentang suatu temuan

Setelah serah terima, pasien mana yang harus ditemui perawat lebih dulu?

1. APasien pneumonia, suhu 38,2 °C, yang mendapat antipiretik 30 menit yang lalu
2. BPasien diabetes dengan glukosa sebelum sarapan 160 mg/dL (8,9 mmol/L)
3. CPasien dua hari setelah penggantian sendi panggul dengan nyeri 5/10
4. DPasien asma yang menggunakan otot bantu napas dan SpO₂ 88%

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. BAdvise the patient to use ear drops
3. CHold the next dose and report it promptly
4. DReassure the patient that it is a normal effect

An anxious patient is breathing very fast and has tingling fingers. The blood gas shows pH 7,51 and PaCO₂ 29 mmHg (3,9 kPa). What should the nurse do first?

1. AEncourage the patient to breathe even faster
2. BGive oxygen at the highest flow and leave the room
3. CStay with the patient and coach slow, calm breathing
4. DGive IV sodium bicarbonate as soon as it can be found

A patient is bleeding internally after a fall. Which finding is usually an early sign of hypovolemic shock?

1. ALoss of consciousness with gasping breaths
2. BRestlessness and a rising heart rate while the blood pressure is still normal
3. CA slow heart rate with warm, dry, flushed skin and a normal blood pressure throughout
4. DA very low blood pressure with fixed, dilated pupils

Which patient finding after a total knee replacement needs the nurse’s action first?

1. ASudden calf pain and swelling in the operated leg, with new breathlessness
2. BPain of 4/10 when the physiotherapist bends the knee during the morning session
3. CA small amount of dried blood on the dressing
4. DAsks for an ice pack to help with swelling around the knee