Lembaran kerja Pemberian keutamaan & delegasi dengan jawapan

When is a patient most ready to learn about self-care?

1. ADuring a period of acute breathlessness
2. BWhen pain is controlled and basic physical needs are met
3. CStraight after hearing bad news about a serious new diagnosis
4. DWhile in severe pain, so the lesson feels important

In the Emergency Severity Index (ESI), which patient fits level 2?

1. AA patient who needs an immediate life-saving intervention to survive
2. BA stable patient who needs no resources
3. CA stable patient who needs one resource
4. DA high-risk situation, new confusion, or severe pain or distress

Which medication reverses opioid-induced respiratory depression?

1. AFlumazenil
2. BNaloxone
3. CVitamin K
4. DProtamine sulfate

Several patients on a gastroenterology unit need care. Which patient should the nurse see first?

1. ATwo hours after a colonoscopy: rigid abdomen and severe new pain
2. BLong-standing back pain, asking for the usual analgesic
3. CCrohn disease, waiting to be taken down for a scheduled CT scan
4. DUlcerative colitis, asking about diet changes for home

Selepas serah tugas, pesakit manakah yang patut dilihat dahulu oleh jururawat?

1. APesakit pneumonia, suhu 38.2 °C, yang menerima antipiretik 30 minit lalu
2. BPesakit asma yang menggunakan otot tambahan dan mempunyai SpO₂ 88%
3. CPesakit dua hari selepas penggantian pinggul dengan kesakitan 5/10
4. DPesakit diabetes yang glukosanya sebelum sarapan ialah 160 mg/dL (8.9 mmol/L)

A patient with mild dysphagia after a stroke is eating. Which technique helps make swallowing safer?

1. ATalking while eating to stay alert
2. BLying flat with the head tilted back
3. CSitting upright with the chin tucked down while swallowing
4. DDrinking thin fluids quickly through a straw between bites

A patient taking an MAO inhibitor antidepressant is taught about diet. Which statement shows a need for further teaching?

1. A“I can still eat aged cheese and cured salami.”
2. B“A sudden severe headache is a warning sign.”
3. C“I will avoid tap beer and red wine.”
4. D“I will check with the pharmacist before cold remedies.”

On a cardiac step-down unit, which patient should the nurse assess first?

1. ASix hours after a coronary stent, new chest pain with ST elevation on the monitor
2. BHeart failure, weight up 0.5 kg since yesterday, no breathlessness at rest
3. CDay 2 after a pacemaker insertion, asking when the wound dressing will be changed
4. DAtrial fibrillation on warfarin with an INR of 2.6 this morning