ورقة عمل تحديد الأولويات والتفويض مع الإجابات

When is a patient most ready to learn about self-care?

1. ADuring a period of acute breathlessness
2. BWhen pain is controlled and basic physical needs are met
3. CWhile in severe pain, so the lesson feels important
4. DStraight after hearing bad news about a serious new diagnosis

In the AVPU scale, what does the P mean?

1. APulse present and regular
2. BPain score below 5
3. CResponds only to pain
4. DPupils equal and reactive

Which symptoms are classic signs of digoxin toxicity?

1. AHair loss and weight gain
2. BA rash, high fever and swollen lymph nodes in the neck
3. CHigh blood sugar and increased thirst
4. DNausea, poor appetite and yellow-green visual halos

A nurse teaches a patient about sublingual nitroglycerin tablets. Which statement shows a need for further teaching?

1. A“I will swallow the tablet with a glass of water.”
2. B“I will sit down before I take a tablet.”
3. C“I may get a headache after taking a tablet.”
4. D“I will keep the tablets in their original dark container.”

أي عبارة تُظهر فهمًا صحيحًا للمساءلة في التفويض؟

1. A"أبقى مساءلة عن قرار التفويض وعن متابعة النتيجة."
2. B"إذا ساءت المهمة، فالمساعد وحده مسؤول."
3. C"بمجرد أن أفوّض مهمة، لم تعد شأني."
4. D"مساعد التمريض هو المساءل عن كون المهمة مناسبة للتفويض."

A patient with asthma has two inhalers: a corticosteroid and salbutamol (albuterol). Which statement shows a need for further teaching?

1. A“I will use my steroid inhaler when I have a sudden attack.”
2. B“I will use my steroid inhaler every day, even when I feel well.”
3. C“I will rinse my mouth after using the steroid inhaler.”
4. D“I will carry my salbutamol inhaler with me.”

Four laboratory results come back at once. Which one should the nurse report first?

1. ACreatinine 1,3 mg/dL in an older adult, unchanged from last week
2. BGlucose 180 mg/dL after a meal in a patient with diabetes
3. CPotassium 3,4 mEq/L in a patient on a diuretic
4. DHemoglobin 6,5 g/dL (65 g/L) in a patient with a GI bleed

Four stable patients need routine morning care. To reduce the spread of infection, which patient should the nurse visit first?

1. AA patient with neutropenia after chemotherapy
2. BA patient with an MRSA wound infection
3. CA patient with C. difficile diarrhea
4. DA patient with influenza on droplet precautions