ورقة عمل تحديد الأولويات والتفويض مع الإجابات

Which finding is expected in a patient with long-standing COPD?

1. ANew confusion
2. BSudden sharp chest pain
3. CA barrel-shaped chest
4. DAn SpO₂ of 78%

أي مما يلي أحد "الحقوق الخمسة" للتفويض؟

1. Aالوقت والتواتر الصحيحان
2. Bالإشراف والتقويم الصحيحان
3. Cالطريق وموضع الحقن الصحيحان
4. Dالجرعة والتركيز الصحيحان

أي مهمة يمكن تفويضها إلى مساعد غير مرخّص؟

1. Aتثقيف مريض عن حمية قليلة الصوديوم
2. Bتقييم قرحة الضغط
3. Cتقرير ما إذا كان ينبغي استدعاء مقدّم الرعاية بشأن علامة ما
4. Dقياس إخراج البول لدى المريض وتسجيله

A nurse teaches a patient who has started warfarin. Which statement shows a need for further teaching?

1. A“I will keep my INR blood test appointments.”
2. B“I will use a soft toothbrush.”
3. C“I will tell my dentist and pharmacist that I take warfarin.”
4. D“If I miss a dose, I will take two the next day.”

A patient at 35 weeks of pregnancy with high blood pressure calls the clinic. Which symptom needs urgent assessment?

1. ANeeding to pass urine more often
2. BMild ankle swelling at the end of the day
3. CA severe headache with blurred vision
4. DBackache after a long walk

A patient with diabetes is unresponsive and has a blood glucose of 40 mg/dL (2,2 mmol/L). What should the nurse do first?

1. AGive the scheduled dose of insulin
2. BGive IV dextrose or glucagon as prescribed
3. CWait 15 minutes and recheck the glucose
4. DPour orange juice into the patient’s mouth

A patient is bleeding internally after a fall. Which finding is usually an early sign of hypovolemic shock?

1. AA very low blood pressure with fixed, dilated pupils
2. BRestlessness and a rising heart rate while the blood pressure is still normal
3. CLoss of consciousness with gasping breaths
4. DA slow heart rate with warm, dry, flushed skin and a normal blood pressure throughout

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. ATighten the restraint so the patient moves less
2. BDocument the finding and continue with the medication round
3. CRaise the arm on a pillow and check again in two hours
4. DLoosen the restraint and assess the circulation