ورقة عمل تحديد الأولويات والتفويض مع الإجابات

In SBAR communication, what does the letter R stand for?

1. AReassessment
2. BResult
3. CRecommendation
4. DResponse

What is the CIWA scale used to assess?

1. AThe risk of a pressure injury
2. BThe depth of a burn wound
3. CThe severity of a newborn’s jaundice
4. DThe severity of alcohol withdrawal

Which serum potassium result should the nurse report to the provider promptly?

1. A6,4 mEq/L (6,4 mmol/L)
2. B3,8 mEq/L (3,8 mmol/L)
3. C4,2 mEq/L (4,2 mmol/L)
4. D4,9 mEq/L (4,9 mmol/L)

Which finding is an early sign of compartment syndrome in a patient with a lower leg fracture?

1. APain out of proportion to the injury that worsens when the toes are stretched
2. BA strong pedal pulse with warm, pink toes and pain that settles with analgesia
3. CMild bruising around the fracture site on the second day
4. DItching under the cast during the first week after it was applied

A patient has heart failure. Which instruction about daily weights is best to give the nursing assistant?

1. A“Weigh him each morning before breakfast, on the same scale, and tell me the result.”
2. B“Weigh him at any time today, on whichever scale is free.”
3. C“Only weigh him if his ankles look more swollen than they did yesterday afternoon.”
4. D“Weigh him after lunch, fully dressed, with his shoes on.”

Straight after birth, what is the first priority for a healthy-looking newborn?

1. AGive the first bath to remove the blood and vernix
2. BDry and warm the baby while checking that it is breathing
3. CGive the vitamin K injection before anything else is done
4. DWeigh and measure the baby on the scale

A patient with diabetes takes propranolol. Which sign of hypoglycemia is most likely to still appear?

1. APalpitations
2. BTachycardia
3. CSweating
4. DTremor

A patient has central chest pain that started 30 minutes ago at rest and has not eased with rest or nitroglycerin. What does this suggest?

1. AA possible myocardial infarction that needs urgent action
2. BMuscle strain that needs a warm compress
3. CIndigestion that is best treated with an antacid and a glass of milk
4. DStable angina that will pass without treatment