Lembaran kerja Pemberian keutamaan & delegasi dengan jawapan

Dalam penetapan keutamaan, dapatan yang "dijangka" ialah dapatan yang:

1. ASesuai dengan keadaan atau rawatan pesakit yang diketahui
2. BSentiasa berada dalam julat rujukan dewasa yang normal
3. CSentiasa memerlukan panggilan segera kepada pasukan tindak balas pantas
4. DTelah diramal oleh pesakit atau keluarga

What is the normal range for arterial bicarbonate (HCO₃⁻)?

1. A35–45 mEq/L
2. B22–26 mEq/L
3. C3.5–5.0 mEq/L
4. D80–100 mEq/L

Which finding is expected in a patient with long-standing COPD?

1. ANew confusion
2. BAn SpO₂ of 78%
3. CA barrel-shaped chest
4. DSudden sharp chest pain

A patient taking lithium has vomiting, diarrhea and a new coarse tremor. What should the nurse do?

1. AHold the next dose and report for an urgent lithium level
2. BReassure the patient that a coarse tremor is expected at first
3. CEncourage the patient to cut down on salt and fluids
4. DGive the dose with food to reduce the stomach upset

On day 3 after hip surgery, a patient suddenly becomes short of breath with sharp chest pain and an SpO₂ of 88%. What should the nurse do first?

1. ARaise the head of the bed, give oxygen and call for urgent help
2. BGive the next dose of oral analgesia and reassess the patient in an hour
3. CEncourage the patient to walk to improve the circulation
4. DMassage the patient’s calves to ease any muscle cramp

Seorang jururawat meminta pembantu jururawat menggunakan alat angkat mekanikal. Pembantu itu berkata dia tidak pernah dilatih menggunakannya. Hak pendelegasian manakah yang dilanggar jika jururawat berkeras?

1. APenyeliaan dan penilaian yang betul
2. BArahan dan komunikasi yang betul
3. CTugas yang betul
4. DOrang yang betul

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. BIgnore the visitor and carry on with patient care
3. CArgue with the visitor to persuade them to leave
4. DMove away to safety, keep others away and call security or the police

A nurse sees a colleague put a vial of an opioid into their own pocket instead of returning it. What should the nurse do?

1. AReport it to the nurse manager according to policy
2. BTell the patients to watch the colleague carefully
3. CAsk the colleague to share the vial with them
4. DSay nothing, because it is not their business