Lembaran kerja Pemberian keutamaan & delegasi dengan jawapan

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

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

Which protective equipment is needed for droplet precautions?

1. AA fitted N95 respirator at all times in the room
2. BA lead apron and goggles
3. CA surgical mask when close to the patient
4. DGloves only, with no mask

Dalam pendelegasian, apakah maksud "arahan dan komunikasi yang betul"?

1. AMemberitahu penerima delegasi supaya menggunakan pertimbangannya sendiri
2. BArahan yang jelas dan khusus: apa yang perlu dilakukan, bila, dan apa yang perlu dilaporkan kembali
3. CMenulis tugas itu dalam carta pesakit sahaja
4. DMeminta penerima delegasi melaporkan sebarang dapatan luar biasa pada akhir syif

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

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

A patient with diabetes is unresponsive and has a blood glucose of 40 mg/dL (2.2 mmol/L). What should the nurse do first?

1. APour orange juice into the patient’s mouth
2. BGive IV dextrose or glucagon as prescribed
3. CGive the scheduled dose of insulin
4. DWait 15 minutes and recheck the glucose

A patient with schizophrenia says voices are telling him to hurt his roommate. What is the priority?

1. AIgnore the comment, because voices are part of his illness
2. BAsk the roommate to stay in the room with him and help calm him down
3. CKeep everyone safe and tell the team, as the risk of harm is high
4. DTell him the voices are not real and leave him alone

A patient has a potassium of 7.0 mEq/L with peaked T waves. Several drugs are prescribed. Which one is usually given first to protect the heart?

1. AOral sodium bicarbonate
2. BIV furosemide
3. CIV calcium gluconate
4. DOral potassium binder

A patient is admitted with suspected meningococcal meningitis. Which precautions are needed until treatment has been given for long enough?

1. AStandard precautions only
2. BDroplet precautions
3. CContact precautions only
4. DAirborne precautions