ورقة عمل تحديد الأولويات والتفويض مع الإجابات

أي علامة هي مشكلة في المجرى الهوائي؟

1. Aنبض كعبري ضعيف وخيطي
2. Bألم بطني بدرجة 8/10
3. Cخراخر دقيقة تُسمع عند قاعدتي الرئتين أثناء الشهيق
4. Dتورم اللسان والشفتين مع بحة في الصوت

What does the Morse Fall Scale measure?

1. AA patient’s skin integrity
2. BA patient’s nutrition status
3. CA patient’s pain level
4. DA patient’s risk of falling

Using the rule of nines, what percentage of body surface does one whole arm represent in an adult?

1. A36%
2. B18%
3. C1%
4. D9%

Which patient is most suitable for the nurse to assign to a nurse who has just finished orientation?

1. AA patient with sepsis whose blood pressure is falling
2. BA patient on a continuous heparin infusion with rising aPTT values
3. CA patient with stable cellulitis on scheduled IV antibiotics
4. DA patient with a new tracheostomy who needs frequent suctioning

One hour after a vaginal birth, the nurse finds a soft, boggy uterus and heavy bleeding. What is the first action?

1. AMassage the fundus
2. BOffer a meal and fluids
3. CApply an ice pack to the perineum
4. DEncourage the patient to rest quietly

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

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

خلال وردية مزدحمة، تستحق أربع مهام. أيها ينبغي أن تنجزها الممرضة أولًا؟

1. Aمساعدة مريض مستقر في ملء بطاقة قائمة الطعام لغد
2. Bإعطاء قرص فيتامين يومي روتيني مستحق في الوقت نفسه
3. Cالجرعة الأولى من مضاد حيوي وريدي لمريض يُشتبه في إصابته بالإنتان
4. Dتحديث خطة الرعاية التمريضية قبل تدقيق المديرين

During JumpSTART triage, a child is not breathing after the airway is opened but has a palpable pulse. What is the next step?

1. AGive five rescue breaths; if breathing starts, tag the child red
2. BTag the child green and return to them after the others
3. CTag the child black at once and move on to the next victim
4. DStart full CPR on the child and stay with them until more help arrives