ورقة عمل تحديد الأولويات والتفويض مع الإجابات

In the FAST stroke check, what does the T stand for?

1. ATongue movement
2. BTremor of the hands
3. CTime to call emergency services
4. DTemperature

باستخدام هرم مازلو للحاجات، أي مشكلة لدى المريض تعالجها الممرضة عادةً أولًا؟

1. Aانخفاض تقدير الذات
2. Bالعزلة الاجتماعية
3. Cخطر السقوط ليلًا
4. Dضعف تبادل الغازات

Which task is appropriate to delegate to a nursing assistant for an immobile but stable patient?

1. ADeciding whether a pressure injury has got worse since yesterday
2. BTurning and repositioning the patient every 2 hours
3. CPlanning the patient’s skin care
4. DChoosing which wound dressing to use

After a hip replacement, a patient has sudden severe hip pain, and the operated leg looks shorter and turned. What should the nurse suspect?

1. ANormal pain after surgery
2. BA urinary tract infection
3. CDislocation of the new hip
4. DA pressure injury on the heel

A patient taking lithium has vomiting, diarrhea and a new coarse tremor. What should the nurse do?

1. AReassure the patient that a coarse tremor is expected at first
2. BGive the dose with food to reduce the stomach upset
3. CHold the next dose and report for an urgent lithium level
4. DEncourage the patient to cut down on salt and fluids

A nurse has given rapid-acting insulin, and then learns that the patient’s meal tray will be 45 minutes late. What should the nurse do?

1. AAsk the patient to walk around the ward until the food arrives
2. BTell the patient to wait and do nothing until the tray comes
3. CGet the patient some carbohydrate food now and check the glucose
4. DGive a second, smaller dose of insulin when the meal tray finally arrives

Which patient finding after a total knee replacement needs the nurse’s action first?

1. AAsks for an ice pack to help with swelling around the knee
2. BSudden calf pain and swelling in the operated leg, with new breathlessness
3. CPain of 4/10 when the physiotherapist bends the knee during the morning session
4. DA small amount of dried blood on the dressing

A patient admitted with suspected appendicitis says the pain suddenly got better, but now the abdomen is rigid and the heart rate is rising. What does this suggest?

1. AThe appendix may have ruptured, causing peritonitis
2. BThe appendicitis is getting better without surgery
3. CThe pain has moved to a different, harmless place
4. DThe patient’s analgesic has finally started to work