Lembaran kerja Pemberian keutamaan & delegasi dengan jawapan

Dalam pendelegasian, apakah maksud "keadaan yang betul"?

1. ATugas itu disenaraikan dengan jelas dalam huraian kerja bertulis penerima delegasi
2. BTetapan dan keadaan pesakit menjadikan pendelegasian selamat
3. CJururawat memeriksa hasilnya selepas tugas selesai
4. DJururawat memberi penerima delegasi arahan yang jelas dan khusus

What does a “PRN” medication order mean?

1. AGive the drug only before surgery
2. BGive the drug at exactly the same time every single day
3. CGive the drug once only, immediately
4. DGive the drug when needed, within the prescribed limits

Which strategy helps a nurse organize care at the start of a shift?

1. ADo the quickest tasks first so the list gets shorter
2. BWait until problems come up and then decide what to do
3. CDo the tasks in strict order of room number, whatever their urgency
4. DRank the tasks by urgency after report and plan the time around them

Before accessing a central venous catheter, what should the nurse do to prevent infection?

1. ATouch the hub to check it is clean
2. BRinse the hub with tap water and dry it
3. CBlow on the hub to remove any dust before connecting the syringe or line
4. DScrub the hub with an antiseptic such as chlorhexidine and let it dry

On the first day after abdominal surgery, a patient has a temperature of 37.9 °C and reduced breath sounds at the lung bases. Which nursing action is most helpful?

1. ARestrict oral fluids so that the lungs do not fill up with extra fluid
2. BKeep the patient lying flat in bed to rest the incision fully
3. CEncourage deep breathing, coughing and use of the incentive spirometer
4. DGive a cough suppressant so that the incision is not strained

Seorang jururawat meminta pembantu jururawat menggunakan alat angkat mekanikal. Pembantu itu berkata dia tidak pernah dilatih menggunakannya. Hak pendelegasian manakah yang dilanggar jika jururawat berkeras?

1. ATugas yang betul
2. BOrang yang betul
3. CArahan dan komunikasi yang betul
4. DPenyeliaan dan penilaian yang betul

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

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

A patient with Guillain-Barré syndrome has weakness that is spreading up from the legs. Which assessment has the highest priority?

1. ASkin condition over the heels
2. BMuscle strength in the feet and ankles at the start of each morning
3. CBreathing strength, such as vital capacity and the ability to cough
4. DThe patient’s mood and coping