Lembaran kerja Pemberian keutamaan & delegasi dengan jawapan

Dalam rangka kerja ABC untuk menetapkan keutamaan kejururawatan, keperluan manakah yang ditangani dahulu?

1. ASaluran udara (Airway)
2. BPernafasan (Breathing)
3. CKesakitan
4. DPeredaran (Circulation)

An adult arrives at the emergency department with chest pain. Which test should be done within about 10 minutes of arrival?

1. AA chest CT scan
2. BA lipid profile
3. CAn exercise stress test
4. DA 12-lead ECG

Dalam pendelegasian, apakah maksud "penyeliaan dan penilaian yang betul"?

1. AJururawat menyusuli, campur tangan jika perlu dan memeriksa hasilnya
2. BJururawat memerhatikan setiap saat setiap tugas yang didelegasikan
3. CJururawat ketua mengesahkan semua tugas yang didelegasikan pada akhir syif
4. DPenerima delegasi memeriksa dan mengesahkan kerjanya sendiri selepas itu

A nurse has called the rapid response team for a deteriorating patient. What should the nurse do while waiting for the team?

1. ALeave the patient for a few minutes to find the relatives and explain what is happening
2. BGo to the station to finish documentation for other patients
3. CGive a dose of every as-needed medication on the chart
4. DStay with the patient, give oxygen as prescribed and have recent vital signs ready

A nurse cannot read part of a medication order. What should the nurse do?

1. AAsk another nurse to guess what the order most likely says, then give it
2. BGive the usual dose of the drug the nurse thinks was meant
3. CContact the prescriber to clarify the order before giving the drug
4. DSkip the drug and not tell anyone until the next ward round

A patient is receiving opioids after surgery. Which finding usually comes before opioid-induced respiratory depression?

1. AIncreased appetite and thirst
2. BIncreasing sleepiness that is hard to rouse
3. CA rise in blood pressure with flushed cheeks
4. DA sudden rise in pain scores

A patient takes lithium. Which statement shows a need for further teaching?

1. A“I will go for my blood tests as planned.”
2. B“I will drink enough fluid every day.”
3. C“I will keep my daily salt intake about the same as usual.”
4. D“I will take ibuprofen every day for my headaches.”

Seorang pesakit dengan kecederaan kepala dan patah kaki sedang dipantau. Dapatan manakah yang menjadi keutamaan?

1. APesakit meminta sesuatu untuk dimakan
2. BLecet kecil pada siku
3. CSkor Skala Koma Glasgow jatuh daripada 15 kepada 12
4. DKesakitan kaki 6/10 walaupun dos analgesia terakhir