ورقة عمل تحديد الأولويات والتفويض مع الإجابات

أي مهمة ينبغي أن تحتفظ بها الممرضة المسجلة بدلًا من تفويضها إلى مساعد غير مرخّص؟

1. Aمساعدة مريض مستقر على المشي إلى الحمام والعودة
2. Bاستحمام مريض مستقر
3. Cالتقييم الأولي لمريض أُدخل حديثًا
4. Dقياس المتناول والمطروح وتسجيلهما

Which platelet count is within the normal adult range?

1. A90,000/mm³ (90 × 10⁹/L)
2. B250,000/mm³ (250 × 10⁹/L)
3. C700,000/mm³ (700 × 10⁹/L)
4. D40,000/mm³ (40 × 10⁹/L)

Which finding in an infant is a sign of breathing difficulty?

1. ANasal flaring
2. BPink, warm hands and feet
3. CWet diapers every few hours
4. DA strong cry

تفوّض ممرضة قياس العلامات الحيوية الروتيني إلى مساعد تمريض لمريض ينخفض ضغط دمه منذ ساعة. أي حق من حقوق التفويض لم يُستوفَ؟

1. Aالظرف الصحيح
2. Bالشخص الصحيح
3. Cالتوجيهات والتواصل الصحيحان
4. Dالمهمة الصحيحة، لأن العلامات الحيوية لا يمكن تفويضها أبدًا

A patient has a blood pressure of 210/120 mmHg. Which finding would make this a hypertensive emergency?

1. AA history of high blood pressure for ten years
2. BForgetting to take the blood pressure tablet this morning
3. CNew chest pain or confusion suggesting organ damage
4. DMild anxiety about the high reading on the monitor

On a postpartum unit, which patient is the most appropriate to assign to an LPN/LVN?

1. AA new admission transferred from the labor ward with a fever of 38,6 °C
2. BDay 1 after an uncomplicated vaginal birth, stable vital signs
3. COne hour after birth with heavy bleeding and a boggy uterus
4. DSevere pre-eclampsia on a magnesium sulfate infusion

An infant with pyloric stenosis has repeated projectile vomiting. Which acid-base imbalance is most likely?

1. AMetabolic acidosis
2. BRespiratory acidosis
3. CRespiratory alkalosis
4. DMetabolic alkalosis

A 2-month-old infant has a spiral fracture of the femur. The parents say the baby rolled off the sofa. What should the nurse recognize?

1. ANo further action is needed once the fracture is treated
2. BThe injury does not fit the infant’s development, so possible abuse must be reported
3. CInfants of this age often roll off furniture and break bones in this way
4. DA spiral fracture in an infant is always caused by birth trauma