ورقة عمل تحديد الأولويات والتفويض مع الإجابات

أي مهمة يمكن للممرضة المسجلة (RN) عادةً تفويضها إلى مساعد غير مرخّص (UAP)، مثل مساعد التمريض؟

1. Aإجراء تقييم الدخول لمريض جديد
2. Bقياس العلامات الحيوية لمريض مستقر
3. Cتعليم مريض كيفية حقن إنسولين جديد
4. Dتقويم استجابة المريض لدواء الألم

When a charge nurse makes patient assignments, what does a patient’s “acuity” mean?

1. AHow long the patient has been in the hospital since admission
2. BHow far the patient’s room is from the nurses’ station
3. CHow many visitors the patient is expected to have
4. DHow ill the patient is and how much nursing care they need

When is the Apgar score usually assessed?

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

A nurse sees a nursing assistant leave a confused patient’s bed in the highest position after care. What should the nurse do?

1. ALeave it because the patient is asleep
2. BWrite it in the assistant’s yearly review only
3. CAsk the family to lower the bed when they next visit
4. DLower the bed now and remind the assistant why it matters

A patient wants to leave the hospital against medical advice. What should the nurse do?

1. ALet the patient leave without telling anyone
2. BHide the patient’s clothes and belongings until the provider arrives
3. CLock the door so the patient cannot leave the unit
4. DInform the provider, explain the risks and document the discussion

A patient with type 1 diabetes has vomited since morning and cannot eat. Which action is most important?

1. AStop all insulin until the patient is able to eat normally again
2. BCheck the blood glucose and ketones and contact the provider
3. CWait until tomorrow to see if the vomiting settles
4. DEncourage a large meal to settle the stomach

A patient with anorexia nervosa is admitted. Which finding is the priority?

1. ASays she feels fat although she is very thin
2. BHas fine, downy hair on her arms
3. CHeart rate 38/min and potassium 2,8 mEq/L
4. DRefuses to eat in front of other people

مريض لديه نزف في الجهاز الهضمي العلوي معدل نبضه 128/min وضغط دمه 84/50 mmHg. كل ما يلي موصوف. بماذا تبدأ الممرضة أولًا؟

1. Aأقراص الحديد الفموية
2. Bحجز التنظير التشخيصي لصباح اليوم التالي
3. Cالسوائل الوريدية أو الدم عبر قنيات واسعة
4. Dتسريب وريدي لمثبّط مضخة البروتون