ورقة عمل تحديد الأولويات والتفويض مع الإجابات

Which serum lithium level suggests toxicity?

1. A1,0 mEq/L
2. B0,7 mEq/L
3. C2,2 mEq/L
4. D0,8 mEq/L

أي مريض هو الأكثر استقرارًا؟

1. Aمريض بألم صدري جديد
2. Bمريض أصيب بتشوش جديد
3. Cمريض بعد يومين من جراحة الركبة ألمه 3/10 وعلاماته الحيوية طبيعية
4. Dمريض انخفض ضغط دمه من 132/80 إلى 90/56 mmHg

After caring for a patient with Clostridioides difficile diarrhea, how should the nurse clean their hands?

1. ANo hand hygiene is needed if gloves were worn
2. BWipe hands on a clean towel
3. CWash with soap and water
4. DUse alcohol hand rub only

A patient receiving chemotherapy has a temperature of 38,3 °C and a very low neutrophil count. What should the nurse do?

1. AGive a cool shower and offer extra fluids, then wait and see what happens
2. BRecheck the temperature in four hours before telling anyone
3. CDocument the reading and mention it at the next handover
4. DReport it at once, because cultures and antibiotics are needed quickly

Which patient with diabetes should the nurse see first?

1. AGlucose 48 mg/dL (2,7 mmol/L), sweating and confused
2. BGlucose 210 mg/dL (11,7 mmol/L) after a large lunch, feels well
3. CNeeds foot care teaching before discharge tomorrow
4. DHbA1c result of 8,2%, asking about diet

A nurse teaches a patient who uses crutches. Which statement shows a need for further teaching?

1. A“I will lean on the crutch pads under my arms to rest.”
2. B“I will remove loose rugs from the floor at home.”
3. C“I will keep the crutch tips in good condition.”
4. D“I will take my weight on my hands, not on my armpits.”

واجه مريض صعوبة مفاجئة في الكلام قبل 45 دقيقة. أي إجراء له أعلى أولوية؟

1. Aإعطاء ماء ليتمكن المريض من تناول أدوية الصباح المعتادة
2. Bتفعيل فريق السكتة الدماغية للتصوير العاجل، مع تدوين آخر وقت كان فيه المريض بخير
3. Cإعطاء الأسبرين فمويًا فورًا للحد من الخثرة
4. Dالانتظار حتى يتمكن طبيب الأعصاب من تقييم المريض في جولة الجناح الصباحية

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