ورقة عمل تحديد الأولويات والتفويض مع الإجابات

باستخدام هرم مازلو للحاجات، أي مشكلة لدى المريض تعالجها الممرضة عادةً أولًا؟

1. Aخطر السقوط ليلًا
2. Bانخفاض تقدير الذات
3. Cالعزلة الاجتماعية
4. Dضعف تبادل الغازات

What is a “near miss” in patient safety?

1. AAn error that was caught before it reached the patient
2. BA planned treatment that did not work
3. CAn error that reached the patient and caused serious harm
4. DA complaint from a visitor

Which finding meets the usual definition of orthostatic hypotension?

1. ABlood pressure is the same lying and standing
2. BHeart rate falls by 5/min after lying down
3. CSystolic pressure falls by 20 mmHg or more within 3 minutes of standing
4. DSystolic pressure rises by 20 mmHg or more within 3 minutes of standing up

A nurse has called the rapid response team for a deteriorating patient. What should the nurse do while waiting for the team?

1. ALeave the patient for a few minutes to find the relatives and explain what is happening
2. BGo to the station to finish documentation for other patients
3. CStay with the patient, give oxygen as prescribed and have recent vital signs ready
4. DGive a dose of every as-needed medication on the chart

A patient with a valid do-not-resuscitate order (DNR; called DNACPR in the UK) stops breathing and has no pulse. What should the nurse do?

1. AFollow the DNR order and do not start CPR
2. BCall the cardiac arrest team and let them decide
3. CStart chest compressions but not rescue breaths
4. DStart CPR and stop when the family arrives

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

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

A patient with septic shock remains hypotensive, with a mean arterial pressure of 58 mmHg, after adequate IV fluids. What should the nurse anticipate?

1. AA vasopressor, such as norepinephrine, to raise the pressure
2. BA beta-blocker to slow the heart rate
3. CAn oral fluid challenge with a sports drink
4. DA loop diuretic to remove the extra fluid that has been given

A patient opens their eyes only to pain, uses inappropriate words and withdraws from pain. What is the Glasgow Coma Scale score?

1. A13
2. B7
3. C9
4. D11