ورقة عمل تحديد الأولويات والتفويض مع الإجابات

Which drug is used to reverse the effect of warfarin?

1. ANaloxone
2. BProtamine sulfate
3. CVitamin K
4. DFlumazenil

When is the Apgar score usually assessed?

1. AAt the first postnatal clinic visit
2. BOnly at 24 hours after birth
3. CBefore the baby is born
4. DAt 1 and 5 minutes after birth

In delegation, what does the “right task” mean?

1. AThe task has been requested by the patient or the patient’s family
2. BThe task can be finished in under ten minutes
3. CThe task is the one the nurse likes least
4. DThe task is one that may be delegated for this patient

The day after a total thyroidectomy, a patient reports tingling around the mouth and in the fingers. What should the nurse do first?

1. ACheck for signs of low calcium and inform the provider
2. BReassure the patient that this is normal after neck surgery
3. CGive the patient’s routine oral iron supplement early
4. DEncourage deep breaths into a paper bag until it passes

Before giving a scheduled dose of metoprolol, which assessment is most important?

1. AApical pulse and blood pressure
2. BBlood glucose and weight
3. CBowel sounds and urine color
4. DTemperature and the latest pain score

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

1. A“I will keep the oxygen away from the gas stove.”
2. B“I will not use oil-based creams on my face.”
3. C“My husband can smoke in my room if the window is open.”
4. D“I will put up no-smoking signs at the front door and in my room.”

A patient with a head injury has a pupil on one side that is now large and does not react to light. What should the nurse do?

1. ADim the room lights so the pupil can get smaller
2. BReport it at once, as it may mean the brain is being compressed
3. CRecheck it at the next routine observation in four hours
4. DDocument it, because pupils often differ slightly after a head injury

A patient has a wrist restraint. The nurse finds the fingers on that hand pale, cool and tingling. What should the nurse do first?

1. ALoosen the restraint and assess the circulation
2. BDocument the finding and continue with the medication round
3. CRaise the arm on a pillow and check again in two hours
4. DTighten the restraint so the patient moves less