ورقة عمل تحديد الأولويات والتفويض مع الإجابات

في إطار ABC لتحديد أولويات التمريض، أي حاجة تُعالَج أولًا؟

1. Aالدورة الدموية (Circulation)
2. Bالتنفس (Breathing)
3. Cالمجرى الهوائي (Airway)
4. Dالألم

أي مهمة ينبغي أن تحتفظ بها الممرضة المسجلة بدلًا من تفويضها إلى مساعد غير مرخّص؟

1. Aمساعدة مريض مستقر على المشي إلى الحمام والعودة
2. Bاستحمام مريض مستقر
3. Cقياس المتناول والمطروح وتسجيلهما
4. Dالتقييم الأولي لمريض أُدخل حديثًا

An adult without lung disease is breathing room air. Which SpO₂ reading needs action?

1. A97%
2. B96%
3. C89%
4. D99%

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. BRecord the result and recheck the glucose at the usual time before the evening meal
3. CGive the next scheduled dose of rapid-acting insulin with the meal
4. DWait another hour, because juice can take a long time to work

A patient with mild dysphagia after a stroke is eating. Which technique helps make swallowing safer?

1. ATalking while eating to stay alert
2. BDrinking thin fluids quickly through a straw between bites
3. CSitting upright with the chin tucked down while swallowing
4. DLying flat with the head tilted back

A parent of a child with influenza talks with the nurse. Which statement shows a need for further teaching?

1. A“I will call if my child has trouble breathing.”
2. B“I will give my child aspirin to bring the fever down.”
3. C“I will give my child plenty of fluids.”
4. D“I will keep my child home from school and away from others while unwell.”

A patient has a wrist restraint. The nurse finds the fingers on that hand pale, cool and tingling. What should the nurse do first?

1. ADocument the finding and continue with the medication round
2. BTighten the restraint so the patient moves less
3. CLoosen the restraint and assess the circulation
4. DRaise the arm on a pillow and check again in two hours

During JumpSTART triage, a child is not breathing after the airway is opened but has a palpable pulse. What is the next step?

1. ATag the child green and return to them after the others
2. BTag the child black at once and move on to the next victim
3. CStart full CPR on the child and stay with them until more help arrives
4. DGive five rescue breaths; if breathing starts, tag the child red