ورقة عمل تحديد الأولويات والتفويض مع الإجابات

Which serum potassium result should the nurse report to the provider promptly?

1. A3,8 mEq/L (3,8 mmol/L)
2. B4,9 mEq/L (4,9 mmol/L)
3. C4,2 mEq/L (4,2 mmol/L)
4. D6,4 mEq/L (6,4 mmol/L)

In which situation can a pulse oximeter give a falsely normal reading?

1. ACarbon monoxide poisoning
2. BA healthy adult at rest
3. CA warm, well-perfused finger
4. DA patient breathing room air normally

To which patients do standard precautions apply?

1. AAll patients, whether or not an infection is known
2. BOnly patients in intensive care
3. COnly patients with an open wound
4. DOnly patients with a confirmed infection on a lab test

A patient has a reddened area on the sacrum that does not blanch when pressed. What is the priority action?

1. AApply a heat pad to the area to increase circulation
2. BMassage the area firmly to improve the blood flow to the skin
3. CRelieve pressure on the area by changing position regularly
4. DKeep the patient lying on the back to protect the area

Which finding is an early sign of compartment syndrome in a patient with a lower leg fracture?

1. AItching under the cast during the first week after it was applied
2. BA strong pedal pulse with warm, pink toes and pain that settles with analgesia
3. CMild bruising around the fracture site on the second day
4. DPain out of proportion to the injury that worsens when the toes are stretched

تفوّض ممرضة قياس العلامات الحيوية الروتيني إلى مساعد تمريض لمريض ينخفض ضغط دمه منذ ساعة. أي حق من حقوق التفويض لم يُستوفَ؟

1. Aالظرف الصحيح
2. Bالتوجيهات والتواصل الصحيحان
3. Cالشخص الصحيح
4. Dالمهمة الصحيحة، لأن العلامات الحيوية لا يمكن تفويضها أبدًا

Which finding most suggests a tension pneumothorax rather than a simple pneumothorax?

1. AMild breathlessness with reduced breath sounds on one side of the chest only
2. BSharp chest pain that is worse on deep breathing
3. CTrachea shifted away from the affected side, with low blood pressure
4. DA small air leak seen on a routine chest X-ray

أثناء فرز START، بالغ لا يستطيع المشي يتنفس 28 مرة في الدقيقة، ولا نبض كعبريًا لديه، وزمن ملء الشعيرات 4 ثوانٍ. أي فئة يُعطاها؟

1. Aأسود (متوقَّع)
2. Bأخضر (طفيف)
3. Cأحمر (فوري)
4. Dأصفر (مؤجَّل)، لأن معدل التنفس أقل من 30/min