Lembaran kerja Pemberian keutamaan & delegasi dengan jawapan

A nurse is worried about a patient’s worsening condition, and the provider does not respond to the concern. Following the chain of command, whom does the nurse usually contact next?

1. AThe hospital’s chief executive
2. BThe pharmacy technician on duty that day
3. CThe charge nurse or nursing supervisor
4. DThe patient’s next of kin

Aktiviti manakah yang secara umumnya berada dalam skop jururawat amali berlesen (LPN/LVN) untuk pesakit yang stabil?

1. AMelakukan penilaian kemasukan awal
2. BMenulis pelan penjagaan kejururawatan
3. CMelakukan triaj kepada ketibaan baharu di jabatan kecemasan
4. DMemberi ubat oral yang dijadualkan

Antara yang berikut, yang manakah salah satu daripada lima hak pendelegasian?

1. AMasa dan kekerapan yang betul
2. BDos dan kekuatan yang betul
3. CLaluan dan tapak suntikan yang betul
4. DPenyeliaan dan penilaian yang betul

Five days after starting heparin, a patient’s platelet count has fallen by more than half. What should the nurse suspect?

1. AIron deficiency anemia
2. BHeparin-induced thrombocytopenia
3. CAn expected effect that needs no action
4. DVitamin K deficiency

A patient wants to leave the hospital against medical advice. What should the nurse do?

1. ALet the patient leave without telling anyone
2. BLock the door so the patient cannot leave the unit
3. CInform the provider, explain the risks and document the discussion
4. DHide the patient’s clothes and belongings until the provider arrives

A patient with a spinal cord injury at T4 suddenly has a severe headache, flushing above the injury and a blood pressure of 200/110 mmHg. What does the nurse do first?

1. ASit the patient upright with the legs lowered
2. BApply extra blankets to keep the patient warm and calm
3. CGive a warm drink and recheck the blood pressure in an hour
4. DLay the patient flat with the legs raised

A patient is bleeding internally after a fall. Which finding is usually an early sign of hypovolemic shock?

1. AA very low blood pressure with fixed, dilated pupils
2. BLoss of consciousness with gasping breaths
3. CRestlessness and a rising heart rate while the blood pressure is still normal
4. DA slow heart rate with warm, dry, flushed skin and a normal blood pressure throughout

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

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