Lembaran kerja Pemberian keutamaan & delegasi dengan jawapan

Which task is appropriate to delegate to a nursing assistant for an immobile but stable patient?

1. AChoosing which wound dressing to use
2. BDeciding whether a pressure injury has got worse since yesterday
3. CTurning and repositioning the patient every 2 hours
4. DPlanning the patient’s skin care

Dalam henti jantung dewasa, tertib manakah yang digunakan oleh sokongan hayat asas semasa?

1. AA-B-C: saluran udara, pernafasan, peredaran
2. BA-C-B: saluran udara, penekanan, pernafasan
3. CC-A-B: penekanan, saluran udara, pernafasan
4. DB-C-A: pernafasan, peredaran, saluran udara

Which blood pressure in an adult suggests hypotension?

1. A82/48 mmHg
2. B126/82 mmHg
3. C110/70 mmHg
4. D118/76 mmHg

Before giving a medication to a child, which check is especially important?

1. AThat the parent agrees with the time it is given
2. BThat the child likes the taste of the drug
3. CThat the medicine cup is the child’s favorite color
4. DThat the dose is correct for the child’s weight

A child with fever and headache develops a purple rash that does not fade when pressed with a glass. What should the nurse do?

1. AGive acetaminophen (paracetamol) and reassess in four hours
2. BApply a soothing cream to the rash
3. CTreat it as an emergency and escalate at once
4. DAdvise the family to see their doctor next week

Straight after birth, what is the first priority for a healthy-looking newborn?

1. AWeigh and measure the baby on the scale
2. BDry and warm the baby while checking that it is breathing
3. CGive the first bath to remove the blood and vernix
4. DGive the vitamin K injection before anything else is done

A 2-month-old infant has a spiral fracture of the femur. The parents say the baby rolled off the sofa. What should the nurse recognize?

1. AThe injury does not fit the infant’s development, so possible abuse must be reported
2. BA spiral fracture in an infant is always caused by birth trauma
3. CNo further action is needed once the fracture is treated
4. DInfants of this age often roll off furniture and break bones in this way

Seorang pesakit yang diselamatkan daripada kebakaran rumah mempunyai lecur pada muka, bulu hidung hangus dan suara serak. Apakah keutamaannya?

1. AMemberi pelega sakit
2. BMembersihkan dan membalut lecur muka
3. CMemulakan resusitasi cecair IV yang dikira daripada saiz lecur
4. DMelindungi saluran udara, bersedia untuk sokongan saluran udara awal