ورقة عمل تحديد الأولويات والتفويض مع الإجابات

Which protective equipment is needed for airborne precautions?

1. AA simple surgical mask worn loosely
2. BA plastic apron only
3. CGloves only
4. DA fit-tested N95 or FFP3 respirator

What does a raised troponin level usually show?

1. ADamage to the liver
2. BLow blood sugar
3. CA urinary tract infection
4. DDamage to heart muscle

عمومًا، أي نوع من المشكلات يُعالَج قبل غيره؟

1. Aحاجة تعليمية للخروج
2. Bمشكلة خطر قد تتطور لاحقًا
3. Cمشكلة فعلية لدى المريض الآن
4. Dمشكلة مدرجة في خطة رعاية أقدم

On the first day after abdominal surgery, a patient has a temperature of 37,9 °C and reduced breath sounds at the lung bases. Which nursing action is most helpful?

1. AGive a cough suppressant so that the incision is not strained
2. BRestrict oral fluids so that the lungs do not fill up with extra fluid
3. CEncourage deep breathing, coughing and use of the incentive spirometer
4. DKeep the patient lying flat in bed to rest the incision fully

A patient is receiving opioids after surgery. Which finding usually comes before opioid-induced respiratory depression?

1. AIncreasing sleepiness that is hard to rouse
2. BA rise in blood pressure with flushed cheeks
3. CA sudden rise in pain scores
4. DIncreased appetite and thirst

A nasogastric tube has just been placed for feeding. What must happen before the first feed is given?

1. AThe patient is asked if the tube feels comfortable
2. BThe feed is started slowly to see if the patient coughs
3. CThe tube is flushed with a large volume of water
4. DPlacement is confirmed by an approved method

After surgery, a patient who has taken long-term steroids becomes hypotensive and weak, and the blood pressure does not rise with IV fluids. Which problem should the nurse suspect?

1. ANormal tiredness after anesthesia
2. BAdrenal crisis from steroid withdrawal
3. CFluid overload from too much IV fluid
4. DAn allergic reaction to the anesthetic

أثناء فرز START، بالغ لا يستطيع المشي يتنفس 24 مرة في الدقيقة، ولديه نبض كعبري، لكنه لا يستطيع اتباع الأوامر البسيطة. أي فئة يُعطاها؟

1. Aأصفر (مؤجَّل)
2. Bأخضر (طفيف)
3. Cأسود (متوقَّع)
4. Dأحمر (فوري)