Lembaran kerja Pemberian keutamaan & delegasi dengan jawapan

Aktiviti manakah yang secara umumnya berada dalam skop jururawat amali berlesen (LPN/LVN) untuk pesakit yang stabil?

1. AMelakukan triaj kepada ketibaan baharu di jabatan kecemasan
2. BMemberi ubat oral yang dijadualkan
3. CMenulis pelan penjagaan kejururawatan
4. DMelakukan penilaian kemasukan awal

Which finding is expected in a patient with long-standing COPD?

1. ANew confusion
2. BSudden sharp chest pain
3. CAn SpO₂ of 78%
4. DA barrel-shaped chest

A conscious adult with hypoglycemia can swallow safely. What should the nurse give first?

1. AA fast-acting carbohydrate by mouth, such as glucose tablets or juice
2. BIV glucose through a new cannula as the first choice for every patient
3. CThe next dose of insulin
4. DA large protein meal

A patient taking warfarin has an INR of 5.2 and no signs of bleeding. What should the nurse do?

1. AEncourage the patient to take aspirin for pain
2. BGive the usual dose and recheck the INR next month
3. CGive a double dose to correct the result
4. DHold the warfarin dose and inform the provider

A conscious patient with hypoglycemia drank juice 15 minutes ago. The glucose is now 62 mg/dL (3.4 mmol/L). What should the nurse do next?

1. AWait another hour, because juice can take a long time to work
2. BGive another serving of fast-acting carbohydrate and recheck in 15 minutes
3. CGive the next scheduled dose of rapid-acting insulin with the meal
4. DRecord the result and recheck the glucose at the usual time before the evening meal

One day after surgery, a patient walked safely with the RN this morning. The RN now asks a nursing assistant to walk her again. Which instruction is most important?

1. A“Stop and call me at once if she feels dizzy or short of breath.”
2. B“Make sure she wears her own slippers if she has them.”
3. C“Try to finish the walk before the lunch trays arrive.”
4. D“Walk her to the end of the corridor and back twice before lunch.”

A nurse sees a colleague put a vial of an opioid into their own pocket instead of returning it. What should the nurse do?

1. AAsk the colleague to share the vial with them
2. BTell the patients to watch the colleague carefully
3. CReport it to the nurse manager according to policy
4. DSay nothing, because it is not their business

A nurse returns to the station to find four messages. Which one is answered first?

1. AThe pharmacy asks when the next delivery should be scheduled
2. BA family member wants an update on their father’s progress
3. CThe laboratory is calling with a critical potassium result of 2.6 mEq/L
4. DA colleague asks to swap shifts with them next week because of a family wedding