ورقة عمل تحديد الأولويات والتفويض مع الإجابات

Before giving a medication, how many patient identifiers should the nurse check?

1. AOne, the room number
2. BAt least two, such as name and date of birth
3. CNone, if the nurse already knows the patient well
4. DOne, the bed number

What should the nurse try before using physical restraints on a confused patient?

1. ARestraining all four limbs to be fully safe
2. BAsking the family to bring restraints from home
3. CUsing restraints at once and removing them later if they turn out not to be needed
4. DLess restrictive measures, such as more frequent checks or a bed alarm

What is the usual adult reference range for serum potassium?

1. AAbout 6,0–8,0 mEq/L
2. BAbout 135–145 mEq/L
3. CAbout 1,5–2,5 mEq/L
4. DAbout 3,5–5,0 mEq/L

Which patient is at the highest risk of falling?

1. AA 30-year-old after an appendectomy who walks with steady steps
2. BAn 84-year-old taking a diuretic who has fallen before and gets up at night
3. CA 60-year-old admitted for chest pain that has since been ruled out by tests
4. DA 45-year-old with asthma who is alert and independent

Which action helps prevent a catheter-associated urinary tract infection?

1. ALeaving the catheter in place longer than needed
2. BDisconnecting the bag every shift to empty it
3. CKeeping the drainage bag below the level of the bladder
4. DRaising the drainage bag above the bladder when walking

Which telephone call should a clinic nurse return first?

1. AAn adult who wants to move a routine blood test appointment
2. BA parent of a 5-year-old with a runny nose for two days
3. CA parent of a 6-week-old with a temperature of 38,3 °C
4. DAn adult asking for a repeat prescription for a statin

An adult has burns over 40% of the body with no signs of airway injury. Which treatment is the priority during the first hours?

1. AApplying antibiotic cream to all the burns before anything else
2. BStarting physiotherapy to prevent contractures straight away
3. CGiving a high-protein meal to support healing
4. DLarge-volume IV fluids with close monitoring of urine output

After a head injury, a patient has clear fluid dripping from the nose. Which action should the nurse avoid?

1. AInserting a tube or suction catheter through the nose
2. BPlacing a loose gauze under the nose
3. CInforming the provider about the drainage
4. DChecking the fluid for glucose or a halo sign on gauze