ورقة عمل تحديد الأولويات والتفويض مع الإجابات

Which serum lithium level suggests toxicity?

1. A0,7 mEq/L
2. B0,8 mEq/L
3. C2,2 mEq/L
4. D1,0 mEq/L

What is the range of possible scores on the Glasgow Coma Scale?

1. A3 to 15
2. B1 to 20
3. C0 to 10
4. D0 to 15

In the AVPU scale, what does the P mean?

1. AResponds only to pain
2. BPupils equal and reactive
3. CPulse present and regular
4. DPain score below 5

Five days after starting heparin, a patient’s platelet count has fallen by more than half. What should the nurse suspect?

1. AHeparin-induced thrombocytopenia
2. BAn expected effect that needs no action
3. CVitamin K deficiency
4. DIron deficiency anemia

في توقف قلب في جناح، أي إجراء يأتي أولًا بعد التأكد من أن المريض غير مستجيب ولا يتنفس بشكل طبيعي؟

1. Aإعطاء نفَسين إنقاذيين، ثم فحص النبض لمدة دقيقة
2. Bطلب المساعدة وبدء الضغطات الصدرية
3. Cقياس ضغط الدم
4. Dالبحث عن سجل المريض للتحقق من حالة الإنعاش قبل طلب المساعدة

A drowsy patient has an arterial blood gas with pH 7,30, PaCO₂ 58 mmHg (7,7 kPa) and HCO₃⁻ 25 mEq/L (mmol/L). Which problem is the priority?

1. APoor ventilation causing carbon dioxide to build up
2. BToo much bicarbonate from antacids
3. CLoss of bicarbonate from the bowel through severe diarrhea
4. DHyperventilation caused by anxiety

A patient with severe sepsis starts oozing blood from IV sites and the gums, and bruises appear on the skin. What should the nurse suspect?

1. ANormal bruising from blood tests
2. BVitamin C deficiency
3. CAn allergic reaction to the adhesive tape
4. DDisseminated intravascular coagulation (DIC)

During birth, the baby’s head delivers but the shoulders do not follow. What should the nurse do first?

1. APush firmly on the top of the uterus (fundal pressure)
2. BAsk the mother to stop pushing and wait an hour
3. CPull hard on the baby’s head and neck to free the trapped shoulders quickly
4. DHelp with the McRoberts position and give suprapubic pressure as directed