Lembaran kerja Pemberian keutamaan & delegasi dengan jawapan

When is the Apgar score usually assessed?

1. AAt 1 and 5 minutes after birth
2. BAt the first postnatal clinic visit
3. CBefore the baby is born
4. DOnly at 24 hours after birth

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

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

What is a “critical value” in laboratory testing?

1. AA result that may be life-threatening and must be reported at once
2. BA result that is slightly outside the normal range and can wait for the ward round
3. CA result that the patient has asked to see
4. DA result that is needed only for research

Seorang pesakit bertanya kepada pembantu jururawat tentang kesan sampingan ubat baharu. Apakah yang patut dilakukan oleh pembantu itu?

1. AMenerangkan kesan sampingan yang disenaraikan dalam risalah pesakit untuk ubat itu
2. BMengatakan jururawat akan datang menjawab, dan memberitahu jururawat
3. CMencari ubat itu dalam talian dan membaca apa yang tertulis
4. DMenenangkan pesakit bahawa kesan sampingan jarang berlaku

A patient taking clozapine reports a sore throat and fever. What is the priority action?

1. AAdvise the patient to gargle with warm salt water and rest in bed
2. BOffer throat lozenges and continue the usual dose
3. CHold the dose and report so the white cell count can be checked
4. DIncrease the dose because the symptoms suggest a relapse

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. COrang yang betul
4. DTugas yang betul

Semasa pemberian makanan tiub berterusan, seorang pesakit tiba-tiba mula batuk, sesak nafas dan SpO₂ menurun. Apakah tindakan pertama jururawat?

1. ABilas tiub dengan 50 mL air, kemudian teruskan pemberian makanan seperti sebelumnya
2. BTingkatkan kadar pemberian makanan supaya ia selesai lebih awal
3. CHentikan pemberian makanan, dudukkan pesakit tegak dan nilai pernafasan
4. DBaringkan pesakit rata supaya dia boleh berehat

A patient with known abdominal aortic aneurysm suddenly has severe back pain, a pulsing mass in the abdomen and a falling blood pressure. What should the nurse do?

1. AGive an oral analgesic and reassess the patient in about one hour
2. BCall for emergency help at once and prepare for urgent surgery
3. CEncourage the patient to walk to ease the back pain
4. DPalpate the mass firmly to check its size and spread