ورقة عمل تحديد الأولويات والتفويض مع الإجابات

أي علامة هي مشكلة في المجرى الهوائي؟

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

Which serum sodium value is within the normal adult range?

1. A140 mEq/L (140 mmol/L)
2. B120 mEq/L (120 mmol/L)
3. C128 mEq/L (128 mmol/L)
4. D152 mEq/L (152 mmol/L)

What does the Morse Fall Scale measure?

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

Two hours after birth, the nurse finds the uterus firm but above the umbilicus and pushed to the right. What should the nurse do first?

1. AMassage the uterus firmly for ten minutes
2. BHelp the patient empty her bladder
3. CAsk the patient to lie still for another hour
4. DGive a dose of oxytocin straight away

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

1. AA patient with a new tracheostomy who needs frequent suctioning
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 sepsis whose blood pressure is falling

تجد ممرضة مريضًا على الأرض بجانب السرير. ما الإجراء الأول؟

1. Aتقييم استجابة المريض وإصاباته قبل تحريكه
2. Bمساعدة المريض على العودة إلى السرير فورًا بمساعدة زميل
3. Cالاتصال بأسرة المريض لشرح ما حدث
4. Dملء تقرير حادثة بينما التفاصيل حاضرة

A patient in acute mania paces constantly, has lost weight and will not sit down to eat. Which intervention is most helpful?

1. AOffer high-calorie finger foods and drinks the patient can take while moving
2. BWait until the mania settles before worrying about nutrition
3. CInsist that the patient sits at the table until the meal is finished
4. DLeave meals in the room and let the patient eat whenever and whatever they choose

A patient admitted with a stroke this morning asks for a glass of water. What should the nurse do first?

1. ACheck that a swallow screen has been done before giving anything by mouth
2. BAsk the family to help the patient drink while sitting upright in a chair at the bedside
3. CGive the water through a straw so it goes down slowly
4. DGive thickened fluids without checking the swallow