Lembaran kerja Pemberian keutamaan & delegasi dengan jawapan

Tugas manakah yang biasanya boleh didelegasikan oleh jururawat berdaftar kepada pembantu penjagaan tidak berlesen (UAP), seperti pembantu jururawat?

1. AMengukur tanda vital pada pesakit yang stabil
2. BMelakukan penilaian kemasukan pesakit baharu
3. CMenilai tindak balas pesakit terhadap ubat penahan sakit
4. DMengajar pesakit cara menyuntik insulin baharu

Which serum potassium result should the nurse report to the provider promptly?

1. A6.4 mEq/L (6.4 mmol/L)
2. B3.8 mEq/L (3.8 mmol/L)
3. C4.2 mEq/L (4.2 mmol/L)
4. D4.9 mEq/L (4.9 mmol/L)

Which blood pressure in an adult suggests hypotension?

1. A126/82 mmHg
2. B110/70 mmHg
3. C82/48 mmHg
4. D118/76 mmHg

A patient receiving IV magnesium sulfate for pre-eclampsia has absent knee reflexes and a respiratory rate of 10/min. What does the nurse do first?

1. AStop the magnesium infusion and call for help
2. BGive oral fluids to help clear the drug faster
3. CIncrease the infusion to prevent a seizure
4. DTurn the patient onto her back and recheck later

A patient receives hemodialysis this morning. Which type of medication is often held before dialysis, as prescribed?

1. AEye drops for glaucoma
2. BTopical skin creams
3. CInhaled bronchodilators
4. DAntihypertensive drugs

After a hip replacement using a posterior approach, which statement shows a need for further teaching?

1. A“I will keep a pillow between my knees when I lie on my side in bed.”
2. B“I will cross my legs when I sit, so I am more comfortable.”
3. C“I will not bend my hip past 90 degrees.”
4. D“I will use a raised toilet seat at home.”

A trauma patient has an open leg fracture, absent breath sounds on one side, a trachea shifted to the other side and a falling blood pressure. Which problem is the priority?

1. AThe suspected tension pneumothorax
2. BThe open fracture of the leg
3. CThe pain from the fracture
4. DThe risk of wound infection

Semasa pemberian makanan tiub berterusan, seorang pesakit tiba-tiba mula batuk, sesak nafas dan SpO₂ menurun. Apakah tindakan pertama jururawat?

1. ATingkatkan kadar pemberian makanan supaya ia selesai lebih awal
2. BHentikan pemberian makanan, dudukkan pesakit tegak dan nilai pernafasan
3. CBaringkan pesakit rata supaya dia boleh berehat
4. DBilas tiub dengan 50 mL air, kemudian teruskan pemberian makanan seperti sebelumnya