Lembaran kerja Pemberian keutamaan & delegasi dengan jawapan

Using the rule of nines, what percentage of body surface does one whole arm represent in an adult?

1. A9%
2. B1%
3. C36%
4. D18%

Who is responsible for developing the nursing plan of care?

1. AThe registered nurse
2. BThe LPN/LVN alone
3. CThe ward clerk
4. DThe nursing assistant

Dalam Emergency Severity Index (ESI), apakah maksud tahap 1?

1. ACukup stabil untuk dilihat di kawasan laluan pantas
2. BMemerlukan intervensi menyelamatkan nyawa segera
3. CMemerlukan dua atau lebih sumber
4. DPesakit yang paling kurang mendesak

A patient is receiving opioids after surgery. Which finding usually comes before opioid-induced respiratory depression?

1. AA rise in blood pressure with flushed cheeks
2. BIncreasing sleepiness that is hard to rouse
3. CIncreased appetite and thirst
4. DA sudden rise in pain scores

The day after a total thyroidectomy, a patient reports tingling around the mouth and in the fingers. What should the nurse do first?

1. AEncourage deep breaths into a paper bag until it passes
2. BCheck for signs of low calcium and inform the provider
3. CGive the patient’s routine oral iron supplement early
4. DReassure the patient that this is normal after neck surgery

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. BTugas yang betul
3. CArahan dan komunikasi yang betul
4. DOrang yang betul

Semasa triaj START, seorang dewasa yang tidak boleh berjalan bernafas 28 kali seminit, tiada nadi radial dan mempunyai pengisian semula kapilari 4 saat. Kategori manakah yang diberikan kepada mangsa itu?

1. AHijau (kecil)
2. BKuning (ditangguhkan), kerana kadar pernafasan di bawah 30/min
3. CHitam (dijangka maut)
4. DMerah (segera)

After surgery, a patient who has taken long-term steroids becomes hypotensive and weak, and the blood pressure does not rise with IV fluids. Which problem should the nurse suspect?

1. AFluid overload from too much IV fluid
2. BNormal tiredness after anesthesia
3. CAn allergic reaction to the anesthetic
4. DAdrenal crisis from steroid withdrawal