ورقة عمل تحديد الأولويات والتفويض مع الإجابات

What is the usual adult reference range for serum potassium?

1. AAbout 3,5–5,0 mEq/L
2. BAbout 6,0–8,0 mEq/L
3. CAbout 1,5–2,5 mEq/L
4. DAbout 135–145 mEq/L

In the AVPU scale, what does the P mean?

1. APulse present and regular
2. BPain score below 5
3. CResponds only to pain
4. DPupils equal and reactive

في إطار ABC، أي مشكلة هي مشكلة دورة دموية؟

1. Aنزف غير مسيطر عليه
2. Bالقلق
3. Cالصرير
4. Dمعدل تنفس 32/min

أي مهمة لمساعد التمريض مناسبة لمريض بعد يومين من استبدال الورك؟

1. Aتقويم ما إذا كانت آخر جرعة من دواء الألم قد سيطرت على الألم
2. Bتعليم المريض احتياطات الورك قبل الخروج
3. Cمساعدة المريض على الجلوس في كرسي، مع اتباع احتياطات الورك
4. Dفحص الشق بحثًا عن احمرار ودفء وإفراز

During an IV vancomycin infusion, a patient develops flushing and itching of the face and neck. What should the nurse do first?

1. AStop or slow the infusion and inform the provider
2. BApply a warm compress to the face and neck
3. CIgnore it, because flushing is always harmless and passes
4. DSpeed up the infusion to finish it quickly

A nurse teaches foot care to a patient with diabetes. Which statement shows a need for further teaching?

1. A“I will wear shoes that fit well, even at home.”
2. B“I will check the soles of my feet every day with a mirror.”
3. C“I will dry well between my toes after washing.”
4. D“I will soak my feet in hot water every evening.”

A child is admitted with a suspected Wilms tumor (nephroblastoma). Which instruction is most important for all staff?

1. AEncourage the child to play contact sports
2. BMeasure abdominal girth by pressing firmly
3. CDo not palpate the abdomen
4. DGive a warm bath with abdominal massage

An adult choking on food is coughing forcefully and can speak a little. What should the nurse do?

1. AGive the patient water to wash the food down
2. BSweep the mouth blindly with a finger
3. CGive abdominal thrusts straight away until the food comes out
4. DEncourage the patient to keep coughing and stay with them