ورقة عمل تحديد الأولويات والتفويض مع الإجابات

Which statement belongs in the Background part of an SBAR report?

1. A“I think he may be developing sepsis.”
2. B“He was admitted three days ago with pneumonia and also has COPD.”
3. C“I would like you to see him within the next 15 minutes.”
4. D“I am calling about Mr Khan because his blood pressure has dropped.”

An adult without lung disease is breathing room air. Which SpO₂ reading needs action?

1. A97%
2. B96%
3. C89%
4. D99%

What is the purpose of the “time-out” just before a surgical procedure?

1. ATo give the surgeon a short rest before the operation starts
2. BTo let the family say goodbye to the patient
3. CTo confirm the correct patient, procedure and site
4. DTo count the swabs at the end of the operation

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. BIgnore it, because flushing is always harmless and passes
3. CSpeed up the infusion to finish it quickly
4. DApply a warm compress to the face and neck

A patient has a reddened area on the sacrum that does not blanch when pressed. What is the priority action?

1. AMassage the area firmly to improve the blood flow to the skin
2. BRelieve pressure on the area by changing position regularly
3. CKeep the patient lying on the back to protect the area
4. DApply a heat pad to the area to increase circulation

A patient coughs hard after abdominal surgery, and loops of bowel appear through the opened wound. What does the nurse do first?

1. APush the bowel gently back into the abdomen with a gloved hand
2. BCover the wound with sterile dressings moistened with saline
3. CLeave the wound uncovered so the surgeon can see it on arrival
4. DHelp the patient walk to the toilet to relieve abdominal pressure

أي إسناد إلى ممرضة عملية (LPN/LVN) هو الأنسب؟

1. Aمريض رجفان أذيني جديد بدأ للتو تسريب ديلتيازيم وريدي
2. Bمريض يحتاج إلى تثقيف الخروج لوارفارين بدأ حديثًا
3. Cمريض COPD مستقر يحتاج إلى موسعات قصبية بالنبذ مجدولة وأدوية فموية
4. Dمريض نُقل من العناية المركزة قبل ساعة

An RN sees an LPN/LVN crushing an extended-release metoprolol tablet to mix with applesauce. What should the RN do?

1. AReport the LPN/LVN at the end of the month without saying anything now
2. BStop the LPN/LVN and contact the prescriber or pharmacist about another form
3. CTell the LPN/LVN to give half of the crushed tablet now and the other half at lunchtime
4. DLet the LPN/LVN continue, since crushing makes the tablet easier to swallow