ورقة عمل تحديد الأولويات والتفويض مع الإجابات

To which patients do standard precautions apply?

1. AOnly patients with an open wound
2. BAll patients, whether or not an infection is known
3. COnly patients with a confirmed infection on a lab test
4. DOnly patients in intensive care

Once a nursing assistant has accepted a delegated task, who is responsible for doing it correctly?

1. ANobody, once the task has been delegated
2. BThe assistant who accepted the task
3. CThe patient receiving the care
4. DOnly the nurse manager

Which drug is used to reverse the effect of warfarin?

1. ANaloxone
2. BVitamin K
3. CFlumazenil
4. DProtamine sulfate

A conscious patient with hypoglycemia drank juice 15 minutes ago. The glucose is now 62 mg/dL (3,4 mmol/L). What should the nurse do next?

1. AGive another serving of fast-acting carbohydrate and recheck in 15 minutes
2. BWait another hour, because juice can take a long time to work
3. CRecord the result and recheck the glucose at the usual time before the evening meal
4. DGive the next scheduled dose of rapid-acting insulin with the meal

An arterial blood gas shows pH 7,28, PaCO₂ 40 mmHg (5,3 kPa) and HCO₃⁻ 16 mEq/L (mmol/L). How should the nurse interpret it?

1. ARespiratory acidosis
2. BMetabolic alkalosis
3. CRespiratory alkalosis
4. DMetabolic acidosis

A patient had a colostomy formed yesterday. Which stoma appearance should be reported straight away?

1. AMoist and pink-red
2. BA little bleeding when cleaned
3. CDark purple or black
4. DSlightly swollen

Two days after starting haloperidol, a patient suddenly develops painful neck twisting and the eyes roll upwards. What should the nurse anticipate?

1. AAn anticholinergic drug, such as benztropine or procyclidine, as prescribed
2. BA higher dose of haloperidol to calm the patient and stop the movements quickly
3. CNo action, because the spasm is a sign of improvement
4. DPhysical restraint until the spasm passes

علامة أي مريض هي الأكثر استعجالًا؟

1. Aمريض نتيجة تعداد صفائحه معلقة
2. Bمريض بعد جراحة الركبة لديه كدمة صغيرة في موضع حقنة
3. Cمريض على الوارفارين INR لديه 2,5 وموعد جرعته المسائية المعتادة قد حان
4. Dمريض على تسريب الهيبارين لديه تشوش جديد وصداع شديد