ورقة عمل تحديد الأولويات والتفويض مع الإجابات

After chemotherapy, a patient has a very low neutrophil count. Which risk is the nursing priority?

1. ADehydration
2. BInfection
3. CHypertension
4. DBleeding

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

1. ATongue movement
2. BTime to call emergency services
3. CTemperature
4. DTremor of the hands

Which platelet count is within the normal adult range?

1. A40,000/mm³ (40 × 10⁹/L)
2. B90,000/mm³ (90 × 10⁹/L)
3. C250,000/mm³ (250 × 10⁹/L)
4. D700,000/mm³ (700 × 10⁹/L)

A nurse has called the rapid response team for a deteriorating patient. What should the nurse do while waiting for the team?

1. AStay with the patient, give oxygen as prescribed and have recent vital signs ready
2. BLeave the patient for a few minutes to find the relatives and explain what is happening
3. CGive a dose of every as-needed medication on the chart
4. DGo to the station to finish documentation for other patients

On the first day after abdominal surgery, a patient has a temperature of 37,9 °C and reduced breath sounds at the lung bases. Which nursing action is most helpful?

1. AKeep the patient lying flat in bed to rest the incision fully
2. BEncourage deep breathing, coughing and use of the incentive spirometer
3. CGive a cough suppressant so that the incision is not strained
4. DRestrict oral fluids so that the lungs do not fill up with extra fluid

A patient has a serum potassium of 6,8 mEq/L. Which action comes first?

1. AGive the patient’s scheduled potassium supplement
2. BPlace the patient on a cardiac monitor
3. CRecheck the level next week
4. DEncourage foods high in potassium

After a cervical spinal cord injury, a patient has a blood pressure of 80/50 mmHg, a heart rate of 48/min and warm, dry skin. What is most likely?

1. ACardiac tamponade
2. BHypovolemic shock
3. CSeptic shock
4. DNeurogenic shock

مريض يتلقى تغذية وريدية عبر خط مركزي. أي علامة تحتاج إلى إجراء فوري؟

1. Aتعرق ورجفة وغلوكوز 62 mg/dL (3,4 mmol/L) بعد توقف التسريب بشكل غير متوقع
2. Bضمادة جافة سليمة فوق الخط
3. Cزيادة وزن 0,2 kg منذ أمس
4. Dغلوكوز 150 mg/dL (8,3 mmol/L) أثناء تشغيل التسريب