ورقة عمل تحديد الأولويات والتفويض مع الإجابات

Why may a full-thickness burn feel painless at its center?

1. AThe burn has already fully healed
2. BThe nerve endings in the skin have been destroyed
3. CThe patient has been given too much fluid
4. DThe burn only affects the thin surface layer of the skin

Which statement belongs in the Background part of an SBAR report?

1. A“I think he may be developing sepsis.”
2. B“I am calling about Mr Khan because his blood pressure has dropped.”
3. C“He was admitted three days ago with pneumonia and also has COPD.”
4. D“I would like you to see him within the next 15 minutes.”

Does asking a patient directly about suicidal thoughts increase their risk?

1. AOnly if the patient is over 65 years old
2. BYes; asking about it may give the patient the idea
3. COnly when the question is asked in writing
4. DNo; asking directly is safe and helps assess the risk

A patient with severe neutropenia needs a room. Which roommate is the safest choice?

1. AA patient with C. difficile diarrhea
2. BA patient after a knee replacement with no signs of infection
3. CA patient with influenza
4. DA patient with an infected, draining leg wound

A patient’s peripheral IV site is swollen, pale and cool, and the infusion has slowed. What should the nurse do first?

1. AIncrease the infusion rate to overcome the resistance
2. BStop the infusion and remove the cannula
3. CFlush the cannula hard to clear the blockage
4. DApply a tight bandage over the site to reduce swelling

A nurse has given rapid-acting insulin, and then learns that the patient’s meal tray will be 45 minutes late. What should the nurse do?

1. AGet the patient some carbohydrate food now and check the glucose
2. BTell the patient to wait and do nothing until the tray comes
3. CGive a second, smaller dose of insulin when the meal tray finally arrives
4. DAsk the patient to walk around the ward until the food arrives

A patient with diabetes takes propranolol. Which sign of hypoglycemia is most likely to still appear?

1. APalpitations
2. BTremor
3. CTachycardia
4. DSweating

A nurse sees a colleague put a vial of an opioid into their own pocket instead of returning it. What should the nurse do?

1. ATell the patients to watch the colleague carefully
2. BReport it to the nurse manager according to policy
3. CAsk the colleague to share the vial with them
4. DSay nothing, because it is not their business