Lembaran kerja Pemberian keutamaan & delegasi dengan jawapan

Pernyataan manakah yang paling tepat menerangkan pendelegasian dalam kejururawatan?

1. AMeminta doktor mengambil alih tugas yang jururawat terlalu sibuk untuk lakukan
2. BMemberi kuasa kepada orang yang cekap untuk tugas terpilih, sementara jururawat kekal bertanggungjawab
3. CMenyerahkan semua tanggungjawab dan akauntabiliti untuk pesakit kepada orang lain
4. DMenolak tugas kerana ia di luar peranan anda sendiri

Which finding meets the usual definition of orthostatic hypotension?

1. ABlood pressure is the same lying and standing
2. BSystolic pressure rises by 20 mmHg or more within 3 minutes of standing up
3. CHeart rate falls by 5/min after lying down
4. DSystolic pressure falls by 20 mmHg or more within 3 minutes of standing

After caring for a patient with Clostridioides difficile diarrhea, how should the nurse clean their hands?

1. AWipe hands on a clean towel
2. BWash with soap and water
3. CNo hand hygiene is needed if gloves were worn
4. DUse alcohol hand rub only

Tugas manakah yang patut didelegasikan oleh jururawat kepada pembantu jururawat bagi pesakit dengan langkah berjaga-jaga jatuh?

1. AMembantu pesakit ke tandas setiap 2 jam seperti yang dirancang
2. BMenilai dan merekod skor risiko jatuh pesakit setiap pagi
3. CMemutuskan sama ada penggera katil masih diperlukan
4. DMengajar keluarga cara mencegah jatuh di rumah

Seorang jururawat ketua perlu mengosongkan satu katil. Pesakit manakah yang paling sesuai untuk discaj atau dipindahkan ke tahap penjagaan yang lebih rendah?

1. AHari ke-1 selepas pembedahan usus dengan suhu baharu 38.5 °C
2. BDimasukkan dua jam lalu dengan sakit dada; keputusan troponin masih belum ada
3. CHari ke-3 selepas apendektomi tanpa komplikasi, makan, menggunakan analgesia oral
4. DPneumonia, dengan keperluan oksigen yang meningkat semalaman daripada 2 kepada 4 L/min

A nasogastric tube has just been placed for feeding. What must happen before the first feed is given?

1. AThe tube is flushed with a large volume of water
2. BThe feed is started slowly to see if the patient coughs
3. CPlacement is confirmed by an approved method
4. DThe patient is asked if the tube feels comfortable

A victim heavily contaminated with an industrial chemical arrives at the emergency department with stable vital signs. What should happen first?

1. AFull assessment inside the main department straight away
2. BTaking the victim straight to the X-ray department
3. CDecontamination before the victim enters the treatment area
4. DPlacing the victim in the waiting room until a doctor is free

A nurse teaches a patient to inject enoxaparin at home. Which statement shows a need for further teaching?

1. A“I will inject into the fat of my abdomen, away from the navel.”
2. B“I will change the injection site each time.”
3. C“I will rub the area after the injection to help it absorb.”
4. D“I will tell my doctor if I notice unusual bruising or bleeding.”