Lembaran kerja Pemberian keutamaan & delegasi dengan jawapan

Which task is appropriate to delegate to a nursing assistant for an immobile but stable patient?

1. ADeciding whether a pressure injury has got worse since yesterday
2. BPlanning the patient’s skin care
3. CTurning and repositioning the patient every 2 hours
4. DChoosing which wound dressing to use

Antara yang berikut, yang manakah salah satu daripada lima hak pendelegasian?

1. AMasa dan kekerapan yang betul
2. BDos dan kekuatan yang betul
3. CLaluan dan tapak suntikan yang betul
4. DPenyeliaan dan penilaian yang betul

Which medication reverses opioid-induced respiratory depression?

1. ANaloxone
2. BProtamine sulfate
3. CVitamin K
4. DFlumazenil

Which postoperative patient should the nurse see first?

1. AAsking when the urinary catheter will be removed
2. BPain of 4/10 one hour after an oral analgesic
3. CDressing soaked with bright red blood and a heart rate rising to 118/min
4. DWants help with washing her hair before her visitors arrive this afternoon

A patient on a medical unit tells the nurse he has a plan to end his life and has saved tablets at home. What is the priority action?

1. AEnsure constant observation and remove anything he could use to harm himself
2. BReassure him that things usually look better in the morning after some sleep
3. CAsk him to promise he will not harm himself
4. DArrange a psychiatry appointment for next week

A patient’s urinary catheter has drained no urine for two hours, and the lower abdomen is swollen. What should the nurse do first?

1. AEncourage the patient to drink more water
2. BRemove the catheter and wait for the patient to void
3. CGive a prescribed diuretic straight away
4. DCheck the tubing for kinks or obstruction

A nurse must care for a patient with a radioactive implant. Which approach best limits the nurse’s exposure?

1. ALimit time in the room, keep as far away as possible and use shielding
2. BStand close to the patient to finish care faster
3. CSpend longer in the room each time but visit less often during the shift
4. DWear a surgical mask to block the radiation

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