Lembaran kerja Pemberian keutamaan & delegasi dengan jawapan

Dalam soalan keutamaan, apakah maksud pesakit yang "tidak stabil"?

1. APesakit yang mempunyai penyakit jangka panjang seperti diabetes
2. BPesakit yang cemas dan menangis tentang pembedahan esok
3. CPesakit yang mengambil lebih daripada lima ubat berbeza
4. DPesakit yang keadaannya sedang berubah atau sukar diramal

After caring for a patient with Clostridioides difficile diarrhea, how should the nurse clean their hands?

1. AWipe hands on a clean towel
2. BWash with soap and water
3. CUse alcohol hand rub only
4. DNo hand hygiene is needed if gloves were worn

Apabila soalan keutamaan bertanya apa yang perlu dilakukan "dahulu", apakah yang dimintanya?

1. ATindakan yang mengambil masa paling lama untuk disiapkan
2. BSatu-satunya pilihan yang betul; yang lain salah
3. CLangkah yang datang sebelum yang lain, walaupun semuanya betul
4. DTindakan yang paling kerap dilakukan oleh jururawat semasa syif biasa

A patient has a nasogastric tube on suction. Which task can the nurse delegate to a nursing assistant?

1. AAssessing the drainage for blood
2. BIrrigating the tube when it blocks
3. CChecking the tube’s position
4. DGiving mouth care

A child with fever and headache develops a purple rash that does not fade when pressed with a glass. What should the nurse do?

1. ATreat it as an emergency and escalate at once
2. BGive acetaminophen (paracetamol) and reassess in four hours
3. CAdvise the family to see their doctor next week
4. DApply a soothing cream to the rash

A pregnant nurse is on the unit. Which patient should the charge nurse avoid assigning to her?

1. AA patient with a sealed radioactive implant for cervical cancer
2. BA patient with a fractured wrist
3. CA patient with type 2 diabetes who needs insulin teaching before discharge
4. DA patient after a hip replacement

After a cervical spinal cord injury, a patient has a blood pressure of 80/50 mmHg, a heart rate of 48/min and warm, dry skin. What is most likely?

1. AHypovolemic shock
2. BNeurogenic shock
3. CSeptic shock
4. DCardiac tamponade

Which patient is the most appropriate to assign to an LPN/LVN?

1. AA patient who has just arrived from the emergency department with pneumonia and confusion
2. BA patient with a tracheostomy placed this morning who is coughing up blood
3. CA patient on a new IV medication that needs frequent titration
4. DA patient with a long-standing tracheostomy who needs routine suctioning and care