Lembaran kerja Pemberian keutamaan & delegasi dengan jawapan

Which serum lithium level suggests toxicity?

1. A0.8 mEq/L
2. B1.0 mEq/L
3. C2.2 mEq/L
4. D0.7 mEq/L

Which symptoms suggest high blood glucose (hyperglycemia)?

1. ASudden hunger with cold, clammy skin
2. BSweating, shaking and a fast pulse
3. CIncreased thirst and passing more urine
4. DConfusion that improves quickly with juice

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

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

Several patients on a gastroenterology unit need care. Which patient should the nurse see first?

1. ATwo hours after a colonoscopy: rigid abdomen and severe new pain
2. BLong-standing back pain, asking for the usual analgesic
3. CCrohn disease, waiting to be taken down for a scheduled CT scan
4. DUlcerative colitis, asking about diet changes for home

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“Walk her to the end of the corridor and back twice before lunch.”
3. C“Try to finish the walk before the lunch trays arrive.”
4. D“Make sure she wears her own slippers if she has them.”

A patient has heart failure. Which instruction about daily weights is best to give the nursing assistant?

1. A“Weigh him at any time today, on whichever scale is free.”
2. B“Weigh him each morning before breakfast, on the same scale, and tell me the result.”
3. C“Only weigh him if his ankles look more swollen than they did yesterday afternoon.”
4. D“Weigh him after lunch, fully dressed, with his shoes on.”

Before surgery, a nurse is asked to witness a patient’s consent. The patient was given a sedative 30 minutes ago. What should the nurse do?

1. AAsk a family member to sign on the patient’s behalf
2. BNot witness the consent and inform the surgeon
3. CWitness it and write “sedated” beside the signature
4. DWitness it quickly before the sedative takes full effect

A patient is admitted with inhalational anthrax. Which precautions are needed?

1. AFull contact and droplet precautions for all staff and visitors on the unit
2. BStandard precautions, because it does not usually spread from person to person
3. CDroplet precautions with a surgical mask for everyone who enters
4. DAirborne precautions in a negative-pressure room for the whole of the hospital stay