ورقة عمل تحديد الأولويات والتفويض مع الإجابات

في أسئلة الأولويات، ماذا يعني المريض "غير المستقر"؟

1. Aمريض مصاب بمرض مزمن مثل السكري
2. Bمريض قلق وباكٍ بشأن جراحة الغد
3. Cمريض يتناول أكثر من خمسة أدوية مختلفة
4. Dمريض تتغير حالته أو يصعب التنبؤ بها

في نظام فرز ثلاثي المستويات، أي مريض حالته طارئة؟

1. Aطلب وصفة متكررة
2. Bطفح جلدي منذ ثلاثة أيام دون حمّى
3. Cألم بطني منذ يومين مع علامات حيوية طبيعية
4. Dألم صدري مع تعرق وضيق نفس

Which task should the registered nurse not delegate to a nursing assistant?

1. AEvaluating whether the patient understood discharge teaching
2. BWalking a stable patient up and down the corridor after lunch
3. CGiving a bed bath to a stable patient
4. DMaking an occupied bed

An older patient becomes confused over a few hours, with attention that comes and goes. What does this suggest?

1. ANormal aging that needs no action
2. BLong-standing dementia that is expected
3. CA personality change that is permanent and expected
4. DDelirium, which needs the cause found quickly

A drowsy patient who has just returned from surgery starts to vomit. What should the nurse do first?

1. ARaise the legs above the heart
2. BTurn the patient onto their side
3. CGive a drink of water
4. DGive an oral anti-sickness tablet

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. BEncourage a large meal to settle the stomach
3. CWait until tomorrow to see if the vomiting settles
4. DCheck the blood glucose and ketones and contact the provider

A patient on peritoneal dialysis has cloudy fluid draining out and abdominal pain. What does this most likely mean?

1. AConstipation that will settle with a laxative later today or tomorrow
2. BPeritonitis, which needs prompt reporting and a fluid sample
3. CA normal finding at the end of each exchange
4. DToo much fluid left in the abdomen after the drain

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

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