उत्तरों सहित प्राथमिकता निर्धारण और प्रत्यायोजन वर्कशीट

A patient’s urine output is 15 mL/h for three hours. How should the nurse classify this in an adult?

1. AExpected after drinking fluids
2. BHigh, suggesting fluid overload
3. CLow and needing to be reported
4. DNormal for an adult at rest

In delegation, what does supervision mean?

1. ASigning the delegate’s documentation without checking it
2. BLeaving the delegate to finish without any contact
3. CGuidance, follow-up and evaluation of the delegated task by the nurse
4. DDoing every delegated task yourself to make sure that it is done right

What does NPO mean on a patient’s care plan?

1. ANothing by mouth
2. BNot for physical therapy
3. CNormal patient observations
4. DNo pain observed

A patient with angina is taught to use sublingual nitroglycerin (GTN). Which statement shows a need for further teaching?

1. A“I will carry the tablets with me when I go out.”
2. B“I will sit or lie down when I take a tablet.”
3. C“I will take five tablets one after the other before I call for help.”
4. D“If the pain has not eased as my action plan says, I will call emergency services.”

नर्स उस रोगी के नियमित जीवन-संकेतक नर्सिंग असिस्टेंट को सौंपती है जिसका रक्तचाप पिछले एक घंटे से गिर रहा है। प्रत्यायोजन का कौन-सा सही (राइट) पूरा नहीं होता?

1. Aसही व्यक्ति
2. Bसही कार्य, क्योंकि जीवन-संकेतक कभी सौंपे नहीं जा सकते
3. Cसही निर्देश और संवाद
4. Dसही परिस्थिति

IV एंटीबायोटिक इन्फ़्यूज़न के दौरान रोगी को पित्ती, घरघराहट और कर्कश आवाज़ हो जाती है। नर्स सबसे पहले क्या करती है?

1. Aइन्फ़्यूज़न की गति आधी कर देती है
2. Bइन्फ़्यूज़न रोक देती है
3. Cप्रतिक्रिया को चार्ट में दर्ज करती है
4. Dमौखिक डाइफ़ेनहाइड्रामीन देती है

A patient is bleeding internally after a fall. Which finding is usually an early sign of hypovolemic shock?

1. AA very low blood pressure with fixed, dilated pupils
2. BRestlessness and a rising heart rate while the blood pressure is still normal
3. CA slow heart rate with warm, dry, flushed skin and a normal blood pressure throughout
4. DLoss of consciousness with gasping breaths

A patient has full-thickness burns all the way around the chest and is finding it harder to breathe, although the airway is clear. What does this suggest?

1. AThe burns are healing and the skin is tightening normally
2. BThe patient is anxious and only needs reassurance
3. CThe tight burned skin is restricting chest movement, so an escharotomy may be needed
4. DThe patient has had too little IV fluid and needs a fast bolus to improve the breathing