ورقة عمل تحديد الأولويات والتفويض مع الإجابات

Which serum creatinine result suggests reduced kidney function in an adult?

1. A3,5 mg/dL (about 310 µmol/L)
2. B0,8 mg/dL (about 70 µmol/L)
3. C0,7 mg/dL (about 60 µmol/L)
4. D1,0 mg/dL (about 90 µmol/L)

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

1. AWipe hands on a clean towel
2. BWash with soap and water
3. CUse alcohol hand rub only
4. DNo hand hygiene is needed if gloves were worn

Which single action is the most effective way to prevent the spread of infection in hospital?

1. AGiving every patient antibiotics
2. BKeeping the windows closed
3. CHand hygiene
4. DWearing a mask all day

A patient with diabetes is unresponsive and has a blood glucose of 40 mg/dL (2,2 mmol/L). What should the nurse do first?

1. AGive the scheduled dose of insulin
2. BGive IV dextrose or glucagon as prescribed
3. CWait 15 minutes and recheck the glucose
4. DPour orange juice into the patient’s mouth

After a hip replacement using a posterior approach, which statement shows a need for further teaching?

1. A“I will keep a pillow between my knees when I lie on my side in bed.”
2. B“I will cross my legs when I sit, so I am more comfortable.”
3. C“I will use a raised toilet seat at home.”
4. D“I will not bend my hip past 90 degrees.”

Before accessing a central venous catheter, what should the nurse do to prevent infection?

1. AScrub the hub with an antiseptic such as chlorhexidine and let it dry
2. BRinse the hub with tap water and dry it
3. CBlow on the hub to remove any dust before connecting the syringe or line
4. DTouch the hub to check it is clean

An older patient has bruises of different ages and seems frightened when a relative visits. What is the nurse’s priority?

1. AAsk the relative directly in front of the patient whether they hit her
2. BIgnore it, because older people bruise easily
3. CEnsure the patient’s safety, document the findings and report as required
4. DTell the patient she must leave home and go to live somewhere else

مريض بعد جراحة كبرى إدراره للبول 15 mL/h لمدة ساعتين ومعدل نبضه 115/min ويداه باردتان. ماذا ينبغي أن تفعل الممرضة أولًا؟

1. Aالانتظار ساعتين أخريين لمعرفة هل سيتحسن الإدرار
2. Bتقييم علامات الصدمة، مثل النزف، والتصعيد
3. Cتشجيع المريض على شرب مزيد من الماء وإعادة الفحص لاحقًا
4. Dغسل القسطرة وإعادة فحص الإدرار صباح الغد