Lembaran kerja Pemberian keutamaan & delegasi dengan jawapan

Pesakit manakah yang paling stabil?

1. APesakit yang tekanan darahnya jatuh daripada 132/80 kepada 90/56 mmHg
2. BPesakit dua hari selepas pembedahan lutut dengan kesakitan 3/10 dan tanda vital normal
3. CPesakit yang baru menjadi keliru
4. DPesakit dengan sakit dada baharu

Where is intramuscular epinephrine usually injected for anaphylaxis?

1. AThe outer middle thigh
2. BThe buttock
3. CThe abdomen under the skin
4. DA vein in the hand

A patient’s urine output is 15 mL/h for three hours. How should the nurse classify this in an adult?

1. ANormal for an adult at rest
2. BExpected after drinking fluids
3. CHigh, suggesting fluid overload
4. DLow and needing to be reported

A nurse teaches a patient about storing insulin at home. Which statement shows a need for further teaching?

1. A“I will keep my spare insulin in the freezer so it lasts longer.”
2. B“I will keep unopened insulin in the fridge.”
3. C“I will not leave my insulin in a hot car.”
4. D“I will check the expiry date on the label before I use the vial.”

Seorang jururawat mendapati pesakit di atas lantai bersebelahan katil. Apakah tindakan pertama?

1. AMenilai pesakit untuk responsif dan kecederaan sebelum menggerakkannya
2. BMenghubungi keluarga pesakit untuk menerangkan apa yang berlaku
3. CMembantu pesakit terus kembali ke katil dengan bantuan rakan sekerja
4. DMelengkapkan laporan insiden semasa butirannya masih segar

A nurse has called the rapid response team for a deteriorating patient. What should the nurse do while waiting for the team?

1. ALeave the patient for a few minutes to find the relatives and explain what is happening
2. BGo to the station to finish documentation for other patients
3. CGive a dose of every as-needed medication on the chart
4. DStay with the patient, give oxygen as prescribed and have recent vital signs ready

A patient at 36 weeks of pregnancy has sudden severe abdominal pain, a hard, board-like uterus and dark vaginal bleeding. What should the nurse suspect?

1. AA urinary tract infection
2. BPlacenta previa, which is usually painless
3. CNormal labor contractions starting
4. DPlacental abruption, which is an emergency

Seorang pesakit dengan kecederaan kepala dan patah kaki sedang dipantau. Dapatan manakah yang menjadi keutamaan?

1. AKesakitan kaki 6/10 walaupun dos analgesia terakhir
2. BSkor Skala Koma Glasgow jatuh daripada 15 kepada 12
3. CLecet kecil pada siku
4. DPesakit meminta sesuatu untuk dimakan