Lembaran kerja Pemberian keutamaan & delegasi dengan jawapan

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

1. AAn SpO₂ of 78%
2. BNew confusion
3. CSudden sharp chest pain
4. DA barrel-shaped chest

Which patient need belongs to the love and belonging level of Maslow’s hierarchy?

1. ANeeding the call light within reach
2. BNeeding pain relief after surgery
3. CWanting praise for progress in rehabilitation
4. DWanting family members to visit

Menggunakan hierarki keperluan Maslow, masalah pesakit manakah yang biasanya ditangani dahulu oleh jururawat?

1. ARisiko jatuh pada waktu malam
2. BPertukaran gas terjejas
3. CPengasingan sosial
4. DHarga diri yang rendah

Seorang jururawat meminta pembantu jururawat "menilai kesakitan pesakit dan memutuskan sama ada pesakit memerlukan lebih banyak ubat". Hak pendelegasian manakah yang dilanggar?

1. APenyeliaan dan penilaian yang betul
2. BOrang yang betul
3. CTugas yang betul
4. DKeadaan yang betul

A patient is raising his voice, pacing and clenching his fists. What should the nurse do first?

1. ASpeak calmly, keep a safe distance and invite him to talk about what is wrong
2. BStand very close to him and tell him firmly and loudly to sit down and be quiet
3. CApply physical restraints at once
4. DTurn away and ignore the behavior

Which medication order should the nurse question?

1. APotassium chloride by IV push
2. BPotassium chloride diluted in an IV bag via a pump
3. COral potassium chloride with food
4. DPotassium chloride oral solution diluted in juice

An adult choking on food is coughing forcefully and can speak a little. What should the nurse do?

1. ASweep the mouth blindly with a finger
2. BGive abdominal thrusts straight away until the food comes out
3. CEncourage the patient to keep coughing and stay with them
4. DGive the patient water to wash the food down

A patient has a new spinal cord injury at C4. Which assessment is the priority?

1. ASkin over the sacrum and heels
2. BBreathing effort and ability to cough
3. CBowel sounds in all four abdominal quadrants
4. DAbility to feed themselves