Lembaran kerja Pemberian keutamaan & delegasi dengan jawapan

Tugas manakah yang boleh didelegasikan kepada pembantu penjagaan tidak berlesen?

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

In stroke care, what does the “last known well” time mean?

1. AThe time of the patient’s last meal
2. BThe last time the patient was seen without stroke symptoms
3. CThe time the patient arrived at the hospital and was triaged
4. DThe time the first symptom was noticed by a stranger

Which adult blood glucose result needs treatment straight away?

1. A52 mg/dL (2.9 mmol/L) with sweating and shakiness
2. B110 mg/dL (6.1 mmol/L) after a snack
3. C130 mg/dL (7.2 mmol/L) two hours after a large lunch
4. D98 mg/dL (5.4 mmol/L) before breakfast

Which action by a nursing assistant needs the nurse to step in?

1. APutting the call light within the patient’s reach
2. BLowering the bed to its lowest position and locking the wheels after care
3. CTaking an oral temperature just after the patient drank cold water
4. DCleaning hands before entering the room

Before giving a scheduled dose of metoprolol, which assessment is most important?

1. AApical pulse and blood pressure
2. BTemperature and the latest pain score
3. CBowel sounds and urine color
4. DBlood glucose and weight

Which infant with gastroenteritis should the nurse see first?

1. AMild diaper rash, otherwise playful
2. BAlert, crying with tears, had a wet diaper an hour ago
3. CTwo loose stools today, feeding well
4. DLethargic, sunken fontanel, no wet diaper for 8 hours

Which patient with cirrhosis should the nurse see first?

1. ALarge ascites that is unchanged from yesterday
2. BWants to talk about stopping drinking alcohol for good
3. CVomiting bright red blood, heart rate 120/min
4. DLong-standing jaundice and itchy skin, asking for cream

Four laboratory results come back at once. Which one should the nurse report first?

1. ACreatinine 1.3 mg/dL in an older adult, unchanged from last week
2. BHemoglobin 6.5 g/dL (65 g/L) in a patient with a GI bleed
3. CGlucose 180 mg/dL after a meal in a patient with diabetes
4. DPotassium 3.4 mEq/L in a patient on a diuretic