Lembar kerja Prioritas & delegasi dengan jawaban

In SBAR communication, what does the letter R stand for?

1. ARecommendation
2. BResponse
3. CReassessment
4. DResult

Tugas yang memerlukan pengkajian, pertimbangan keperawatan, atau evaluasi harus:

1. ASelalu didelegasikan kepada LPN/LVN
2. BDiberikan kepada keluarga pasien
3. CDidelegasikan kepada asisten keperawatan yang paling berpengalaman
4. DDilakukan oleh perawat terdaftar

Before giving a medication, how many patient identifiers should the nurse check?

1. AOne, the room number
2. BNone, if the nurse already knows the patient well
3. COne, the bed number
4. DAt least two, such as name and date of birth

A patient has a serum potassium of 2,9 mEq/L. Which finding should the nurse expect?

1. AA rise in urine output and thirst only
2. BTall, peaked T waves and muscle twitching
3. CMuscle weakness and U waves on the ECG
4. DFlushed, warm skin and a slow heart rate

Which newborn finding needs prompt reporting?

1. AJaundice that appears within the first 24 hours
2. BMild jaundice that first appears on the third day
3. CBluish hands and feet in the first hours
4. DMilia (small white spots) on the nose

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

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

A nursing assistant has twice not reported abnormal vital signs to the RN. What is the RN’s best action?

1. ASay nothing to the assistant and quietly recheck all of the assistant’s vital signs in secret
2. BStop delegating any tasks to the assistant for the rest of the year
3. CTalk to the assistant privately, restate what must be reported and follow up closely
4. DComplain about the assistant to the patients during care

A victim heavily contaminated with an industrial chemical arrives at the emergency department with stable vital signs. What should happen first?

1. APlacing the victim in the waiting room until a doctor is free
2. BTaking the victim straight to the X-ray department
3. CFull assessment inside the main department straight away
4. DDecontamination before the victim enters the treatment area