ورقة عمل تحديد الأولويات والتفويض مع الإجابات

Which serum potassium result should the nurse report to the provider promptly?

1. A6,4 mEq/L (6,4 mmol/L)
2. B4,2 mEq/L (4,2 mmol/L)
3. C4,9 mEq/L (4,9 mmol/L)
4. D3,8 mEq/L (3,8 mmol/L)

أي مهمة ينبغي أن تحتفظ بها الممرضة المسجلة بدلًا من تفويضها إلى مساعد غير مرخّص؟

1. Aالتقييم الأولي لمريض أُدخل حديثًا
2. Bقياس المتناول والمطروح وتسجيلهما
3. Cاستحمام مريض مستقر
4. Dمساعدة مريض مستقر على المشي إلى الحمام والعودة

عندما يقدّم سؤال أولويات خيارًا من تقييم وخيارًا من إجراء، أيهما الصحيح عادةً أولًا حين لا يكون الوضع طارئًا؟

1. Aتوثيق الاهتمام في السجل
2. Bمطالبة مساعد تمريض بالذهاب لفحص المريض
3. Cتقييم المريض لجمع مزيد من المعلومات
4. Dاستدعاء مقدّم الرعاية قبل رؤية المريض

A patient receiving chemotherapy has a temperature of 38,3 °C and a very low neutrophil count. What should the nurse do?

1. ARecheck the temperature in four hours before telling anyone
2. BGive a cool shower and offer extra fluids, then wait and see what happens
3. CDocument the reading and mention it at the next handover
4. DReport it at once, because cultures and antibiotics are needed quickly

An older patient with dementia is restless at night and keeps trying to get out of bed. Which measure should the nurse try first?

1. ACheck for pain, thirst or a full bladder, and offer toileting
2. BRaise all four bed rails so the patient cannot climb out
3. CApply wrist restraints for the rest of the night
4. DGive a sedative from the as-needed list without first assessing the patient

A patient with a spinal cord injury at T4 suddenly has a severe headache, flushing above the injury and a blood pressure of 200/110 mmHg. What does the nurse do first?

1. AApply extra blankets to keep the patient warm and calm
2. BLay the patient flat with the legs raised
3. CSit the patient upright with the legs lowered
4. DGive a warm drink and recheck the blood pressure in an hour

A patient has a potassium of 7,0 mEq/L with peaked T waves. Several drugs are prescribed. Which one is usually given first to protect the heart?

1. AIV calcium gluconate
2. BOral sodium bicarbonate
3. CIV furosemide
4. DOral potassium binder

Two weeks after birth, a mother says she hears voices telling her the baby is evil. What is the priority?

1. ALeave her alone with the baby to bond
2. BReassure her that this is normal “baby blues”
3. CAdvise more sleep and book a routine follow-up visit for next month
4. DKeep the mother and baby safe and arrange urgent psychiatric care