ورقة عمل تحديد الأولويات والتفويض مع الإجابات

في التفويض، ماذا تعني "التوجيهات والتواصل الصحيحان"؟

1. Aمطالبة المفوَّض إليه بالإبلاغ عن أي علامات غير معتادة في نهاية الوردية
2. Bإخبار المفوَّض إليه بأن يستخدم حكمه الخاص
3. Cكتابة المهمة في سجل المريض فقط
4. Dتعليمات واضحة ومحددة: ماذا يفعل، ومتى، وما الذي يُبلَّغ عنه

What is the range of possible scores on the Glasgow Coma Scale?

1. A0 to 15
2. B0 to 10
3. C1 to 20
4. D3 to 15

Which laboratory finding is expected in a patient with chronic kidney disease who receives dialysis?

1. AA platelet count of 900,000/mm³
2. BA raised serum creatinine
3. CA low serum creatinine
4. DA serum sodium of 160 mEq/L

A patient receiving an aminoglycoside antibiotic, such as gentamicin, reports ringing in the ears. What should the nurse do?

1. AHold the next dose and report it promptly
2. BReassure the patient that it is a normal effect
3. CGive the next dose early to finish the course
4. DAdvise the patient to use ear drops

A patient with heart failure gained 2 kg (about 4 lb) since yesterday and is more breathless when lying down. What should the nurse do first?

1. ALay the patient flat to help them breathe more easily
2. BEncourage extra fluids to correct the weight change
3. CAssess the lungs, oxygen saturation and swelling, then inform the provider
4. DRecord the weight on the chart and recheck it at the next weekly weigh-in

Which patient on an addiction unit should the nurse see first?

1. ALast drink one week ago; asking about support groups
2. BIn recovery for a year; came to the clinic today for a routine check and a repeat prescription
3. CLast drink this morning; asking when lunch will arrive
4. DLast drink two days ago; now shaking, sweating, heart rate 124/min and seeing insects

مريض لديه نزف في الجهاز الهضمي العلوي معدل نبضه 128/min وضغط دمه 84/50 mmHg. كل ما يلي موصوف. بماذا تبدأ الممرضة أولًا؟

1. Aحجز التنظير التشخيصي لصباح اليوم التالي
2. Bتسريب وريدي لمثبّط مضخة البروتون
3. Cأقراص الحديد الفموية
4. Dالسوائل الوريدية أو الدم عبر قنيات واسعة

A nursing assistant has twice not reported abnormal vital signs to the RN. What is the RN’s best action?

1. ATalk to the assistant privately, restate what must be reported and follow up closely
2. BComplain about the assistant to the patients during care
3. CSay nothing to the assistant and quietly recheck all of the assistant’s vital signs in secret
4. DStop delegating any tasks to the assistant for the rest of the year