Lembaran kerja Pemberian keutamaan & delegasi dengan jawapan

Tugas manakah yang boleh didelegasikan kepada pembantu penjagaan tidak berlesen?

1. AMengukur dan merekod keluaran air kencing pesakit
2. BMemutuskan sama ada hendak menghubungi pembekal penjagaan tentang sesuatu dapatan
3. CMenilai luka tekanan
4. DMengajar pesakit tentang diet rendah natrium

What does a “PRN” medication order mean?

1. AGive the drug once only, immediately
2. BGive the drug at exactly the same time every single day
3. CGive the drug only before surgery
4. DGive the drug when needed, within the prescribed limits

Which finding should a nursing assistant report to the nurse at once?

1. AA pulse of 42/min in a patient whose usual pulse is 76/min
2. BA patient who wants to shower in the evening
3. CA patient who would like tea instead of coffee
4. DA patient whose weight is unchanged from yesterday

Which patient with diabetes should the nurse see first?

1. AGlucose 48 mg/dL (2.7 mmol/L), sweating and confused
2. BGlucose 210 mg/dL (11.7 mmol/L) after a large lunch, feels well
3. CHbA1c result of 8.2%, asking about diet
4. DNeeds foot care teaching before discharge tomorrow

A drowsy patient who has just returned from surgery starts to vomit. What should the nurse do first?

1. ARaise the legs above the heart
2. BTurn the patient onto their side
3. CGive an oral anti-sickness tablet
4. DGive a drink of water

A nursing assistant offers to suction a patient’s new tracheostomy. Which response from the RN is best?

1. A“Suctioning a new tracheostomy is my task; I will do it myself.”
2. B“Ask the patient’s family to do the suctioning today.”
3. C“Leave the suctioning until the next shift arrives.”
4. D“Thank you, please suction him as needed and tell me how it went.”

During surgery under general anesthesia, a patient develops rising end-tidal carbon dioxide, muscle rigidity and a rapidly increasing temperature. Which drug should the nurse anticipate?

1. AFlumazenil
2. BAtropine
3. CNaloxone
4. DDantrolene

Di unit kardiak, pesakit manakah yang patut dilihat dahulu oleh jururawat?

1. APesakit kegagalan jantung yang bertambah 0.3 kg sejak semalam
2. BPesakit yang mengambil digoksin dengan nadi 48/min, loya dan kalium 3.0 mEq/L
3. CPesakit yang diminta berpuasa sebelum imbasan esok
4. DPesakit fibrilasi atrium yang kadar denyutan jantungnya 88/min dan tidak teratur, seperti sebelumnya