Lembar kerja Prioritas & delegasi dengan jawaban

What is the usual adult reference range for serum potassium?

1. AAbout 6,0–8,0 mEq/L
2. BAbout 3,5–5,0 mEq/L
3. CAbout 1,5–2,5 mEq/L
4. DAbout 135–145 mEq/L

Which task can the RN usually assign to an LPN/LVN?

1. AWriting the patient’s initial plan of care
2. BChanging the dressing on a stable, healing wound
3. CTriaging a new arrival in the emergency department
4. DDoing the admission assessment of a new patient

What does a raised troponin level usually show?

1. ADamage to heart muscle
2. BA urinary tract infection
3. CDamage to the liver
4. DLow blood sugar

Temuan mana yang tidak terduga dan memerlukan tindak lanjut segera?

1. APasien sirosis yang diketahui memiliki kulit kuning yang tidak berubah
2. BPasien dengan infus heparin mengalami feses hitam seperti ter yang baru
3. CPasien satu hari setelah operasi kandung empedu laparoskopi mengalami nyeri bahu kanan
4. DPasien PPOK lama memiliki dada berbentuk tong

A nasogastric tube has just been placed for feeding. What must happen before the first feed is given?

1. AThe tube is flushed with a large volume of water
2. BThe patient is asked if the tube feels comfortable
3. CPlacement is confirmed by an approved method
4. DThe feed is started slowly to see if the patient coughs

A patient has heart failure. Which instruction about daily weights is best to give the nursing assistant?

1. A“Weigh him each morning before breakfast, on the same scale, and tell me the result.”
2. B“Only weigh him if his ankles look more swollen than they did yesterday afternoon.”
3. C“Weigh him after lunch, fully dressed, with his shoes on.”
4. D“Weigh him at any time today, on whichever scale is free.”

Seorang pasien yang diselamatkan dari kebakaran rumah mengalami luka bakar pada wajah, rambut hidung hangus, dan suara serak. Apa prioritasnya?

1. AMemberikan pereda nyeri
2. BMelindungi jalan napas, bersiap untuk bantuan jalan napas dini
3. CMemulai resusitasi cairan IV yang dihitung dari luas luka bakar
4. DMembersihkan dan membalut luka bakar wajah

A patient with Guillain-Barré syndrome has weakness that is spreading up from the legs. Which assessment has the highest priority?

1. AMuscle strength in the feet and ankles at the start of each morning
2. BBreathing strength, such as vital capacity and the ability to cough
3. CSkin condition over the heels
4. DThe patient’s mood and coping