Lembaran kerja Pemberian keutamaan & delegasi dengan jawapan

Dalam triaj korban beramai-ramai, apakah maksud tag hitam?

1. AKecederaan kecil yang boleh menunggu berjam-jam lamanya
2. BTercemar, memerlukan dekontaminasi penuh sebelum sebarang penjagaan diberikan
3. CKeutamaan rawatan tertinggi antara semua mangsa
4. DMeninggal dunia, atau tidak mungkin terselamat dengan sumber yang ada

What is the main purpose of an incident report?

1. ATo inform the patient’s insurance company
2. BTo decide which staff member should be punished
3. CTo replace the nurse’s notes in the patient’s record
4. DTo improve safety by finding out why events happen

Antara yang berikut, yang manakah keperluan fisiologi dalam hierarki Maslow?

1. APerkumuhan air kencing dan najis
2. BBerasa sebahagian daripada keluarga
3. CBerasa selamat di rumah
4. DDihormati oleh orang lain

Which patient should the RN see first after receiving a report from the night nurse?

1. ADay 4 after bowel surgery, waiting for discharge teaching
2. BDay 3 after bowel surgery, wants a shower and hair wash before breakfast
3. CDay 2 after bowel surgery, asking to start a soft diet
4. DDay 1 after bowel surgery, new chest pain and heart rate 110/min

Which two patients can most safely share a room?

1. AA patient with MRSA in a wound and a patient after surgery
2. BA patient with chickenpox and a patient on chemotherapy
3. CTwo patients who both have C. difficile infection
4. DA patient with influenza and a patient with COPD

Seorang dewasa yang stabil dengan tanda vital normal mempunyai luka pada tangan yang memerlukan jahitan dan tiada yang lain. ESI tahap manakah yang sesuai?

1. ATahap 3
2. BTahap 5
3. CTahap 4
4. DTahap 2

Before surgery, a nurse is asked to witness a patient’s consent. The patient was given a sedative 30 minutes ago. What should the nurse do?

1. ANot witness the consent and inform the surgeon
2. BWitness it quickly before the sedative takes full effect
3. CAsk a family member to sign on the patient’s behalf
4. DWitness it and write “sedated” beside the signature

A patient with major depression has been withdrawn for weeks but is suddenly calm and cheerful and gives away her belongings. What should the nurse suspect?

1. AThat she is getting ready for discharge as planned
2. BA raised risk of suicide, because she may have made a decision
3. CA side effect of her antidepressant medicine that needs no special action
4. DA full recovery, so observation can be reduced