ورقة عمل تحديد الأولويات والتفويض مع الإجابات

Which finding should a nursing assistant report to the nurse at once?

1. AA patient who wants to shower in the evening
2. BA patient whose weight is unchanged from yesterday
3. CA pulse of 42/min in a patient whose usual pulse is 76/min
4. DA patient who would like tea instead of coffee

يبلغ مساعد تمريض عن أربع حالات. أيها ينبغي أن تفحصها الممرضة أولًا؟

1. Aمريض لم يُنهِ صينية فطوره
2. Bمريض لا يستطيع فجأة تحريك ذراعه اليمنى
3. Cمريض يطلب بطانية أخرى
4. Dمريض يريد الاتصال بأحد الأقارب

Which finding meets the usual definition of orthostatic hypotension?

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

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 tell my dentist and pharmacist that I take warfarin.”
3. C“I will use a soft toothbrush.”
4. D“If I miss a dose, I will take two the next day.”

A patient is raising his voice, pacing and clenching his fists. What should the nurse do first?

1. ASpeak calmly, keep a safe distance and invite him to talk about what is wrong
2. BStand very close to him and tell him firmly and loudly to sit down and be quiet
3. CTurn away and ignore the behavior
4. DApply physical restraints at once

A patient speaks little English, and the nurse needs to explain a new procedure. What is the best way to communicate?

1. AAsk the patient’s 10-year-old child to translate
2. BUse hand gestures and hope the patient understands
3. CUse a professional medical interpreter
4. DSpeak loudly and slowly in English

أي تفويض مناسب لمساعد تمريض؟

1. Aجمع عينة بول روتينية من مريض مستقر
2. Bمراقبة مريض أثناء أول 15 دقيقة من نقل الدم
3. Cفحص أنبوب أنفي معدي مثبّت حديثًا قبل أول تغذية
4. Dإعطاء الوجبة الأولى لمريض لم يُفحص بلعه بعد السكتة الدماغية

A patient with diabetic ketoacidosis is about to start an IV insulin infusion. The serum potassium is 3,0 mEq/L. What should the nurse do?

1. AGive the insulin as a fast bolus to bring the potassium up
2. BIgnore the result, since potassium is always high in this condition and will correct itself
3. CStart the insulin at once, because the glucose is the bigger problem
4. DReport the result before starting, because insulin will push potassium even lower