ورقة عمل تحديد الأولويات والتفويض مع الإجابات

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

When is the Apgar score usually assessed?

1. AOnly at 24 hours after birth
2. BAt the first postnatal clinic visit
3. CAt 1 and 5 minutes after birth
4. DBefore the baby is born

في التفويض، ماذا يعني "الشخص الصحيح"؟

1. Aوافق المريض على تلقي الرعاية من المفوَّض إليه
2. Bالمفوَّض إليه هو الموظف الأقل انشغالًا
3. Cالمفوَّض إليه هو أقدم مساعد مناوب في تلك الوردية
4. Dالمفوَّض إليه مدرَّب وكفء ومسموح له بأداء المهمة

A patient taking lisinopril develops swelling of the lips and tongue. What should the nurse do first?

1. ATell the patient this is a common, harmless effect
2. BGive the next dose of lisinopril with water
3. CAssess the airway and call for urgent help
4. DApply a cold pack and recheck in an hour

A nurse gives IV morphine for severe pain. When should the nurse reassess the pain and sedation?

1. AAt the next routine round in four hours
2. BWithin about 15–30 minutes
3. CAt the end of the shift
4. DOnly when the patient asks for more

On the first day after abdominal surgery, a patient has a temperature of 37,9 °C and reduced breath sounds at the lung bases. Which nursing action is most helpful?

1. AKeep the patient lying flat in bed to rest the incision fully
2. BRestrict oral fluids so that the lungs do not fill up with extra fluid
3. CEncourage deep breathing, coughing and use of the incentive spirometer
4. DGive a cough suppressant so that the incision is not strained

يتلقى مريض كلوريد البوتاسيوم وريديًا عبر خط محيطي ويشكو من حرقة في الموضع، وهو أحمر. ماذا تفعل الممرضة أولًا؟

1. Aإخبار المريض بأن الحرقة متوقعة والمواصلة
2. Bزيادة معدل التسريب لإنهاء الجرعة أسرع
3. Cإيقاف التسريب وتقييم موضع الخط الوريدي
4. Dوضع كمادة دافئة ومواصلة التسريب

A patient takes lithium. Which statement shows a need for further teaching?

1. A“I will drink enough fluid every day.”
2. B“I will take ibuprofen every day for my headaches.”
3. C“I will go for my blood tests as planned.”
4. D“I will keep my daily salt intake about the same as usual.”