Lembaran kerja Pemberian keutamaan & delegasi dengan jawapan

In the United States, which law sets out the scope of nursing practice in each state?

1. AThe state Nurse Practice Act
2. BThe hospital’s visitor policy
3. CThe federal tax code
4. DThe Food and Drug Administration rules

Apakah triaj?

1. AMengisih pesakit mengikut betapa segeranya mereka memerlukan penjagaan
2. BMemindahkan pesakit antara unit mengikut ketersediaan katil
3. CMerawat pesakit dengan ketat mengikut tertib kedatangan
4. DBerkongsi pesakit sama rata antara jururawat yang bertugas

Tugas manakah yang boleh didelegasikan kepada pembantu penjagaan tidak berlesen?

1. AMengukur dan merekod keluaran air kencing pesakit
2. BMengajar pesakit tentang diet rendah natrium
3. CMemutuskan sama ada hendak menghubungi pembekal penjagaan tentang sesuatu dapatan
4. DMenilai luka tekanan

A patient’s peripheral IV site is swollen, pale and cool, and the infusion has slowed. What should the nurse do first?

1. AIncrease the infusion rate to overcome the resistance
2. BStop the infusion and remove the cannula
3. CFlush the cannula hard to clear the blockage
4. DApply a tight bandage over the site to reduce swelling

A patient wants to leave the hospital against medical advice. What should the nurse do?

1. AHide the patient’s clothes and belongings until the provider arrives
2. BInform the provider, explain the risks and document the discussion
3. CLock the door so the patient cannot leave the unit
4. DLet the patient leave without telling anyone

Dapatan manakah yang tidak dijangka dan memerlukan tindakan susulan segera?

1. APesakit dengan infusi heparin mengalami najis hitam berbau tar yang baharu
2. BPesakit sehari selepas pembedahan pundi hempedu laparoskopi mengalami sakit bahu kanan
3. CPesakit sirosis yang diketahui mempunyai kulit kuning yang tidak berubah
4. DPesakit COPD yang sudah lama mempunyai dada berbentuk tong

A patient admitted with suspected appendicitis says the pain suddenly got better, but now the abdomen is rigid and the heart rate is rising. What does this suggest?

1. AThe patient’s analgesic has finally started to work
2. BThe appendix may have ruptured, causing peritonitis
3. CThe appendicitis is getting better without surgery
4. DThe pain has moved to a different, harmless place

Which nursing approach may raise intracranial pressure in a patient with a head injury?

1. AKeeping the head in line with the body
2. BSpacing out care with rest periods in between activities
3. CDoing suctioning, turning and bathing all at the same time
4. DKeeping the room calm and quiet