उत्तरों सहित प्राथमिकता निर्धारण और प्रत्यायोजन वर्कशीट

प्राथमिकता वाले प्रश्नों में "अस्थिर" रोगी का क्या अर्थ है?

1. Aऐसा रोगी जो पाँच से अधिक अलग-अलग दवाएँ लेता है
2. Bऐसा रोगी जिसकी स्थिति बदल रही है या जिसका पूर्वानुमान कठिन है
3. Cऐसा रोगी जो कल की सर्जरी को लेकर चिंतित और रोता हुआ है
4. Dऐसा रोगी जिसे मधुमेह जैसी दीर्घकालिक बीमारी है

A patient’s platelet count is 18,000/mm³ (18 × 10⁹/L). Which risk is the nursing priority?

1. ABleeding
2. BInfection
3. CFluid overload
4. DBlood clots

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

1. A3.8 mEq/L (3.8 mmol/L)
2. B4.2 mEq/L (4.2 mmol/L)
3. C4.9 mEq/L (4.9 mmol/L)
4. D6.4 mEq/L (6.4 mmol/L)

A woman calls to say her husband suddenly has a drooping face and slurred speech. What should the nurse advise?

1. ADrive him to the hospital yourself after he has eaten dinner
2. BBook an appointment with his doctor next week
3. CCall emergency services now and note the time it started
4. DLet him lie down and see if it improves

A patient has a serum potassium of 2.9 mEq/L. Which finding should the nurse expect?

1. AA rise in urine output and thirst only
2. BFlushed, warm skin and a slow heart rate
3. CMuscle weakness and U waves on the ECG
4. DTall, peaked T waves and muscle twitching

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

A medical-unit nurse is floated to intensive care and given a patient on a ventilator, which the nurse has never managed. What is the best response?

1. ARefuse to work and go home, because the assignment is unsafe
2. BTell the charge nurse about the gap, accept tasks within competence and ask for support
3. CAccept the full assignment without comment to avoid conflict
4. DLeave the intensive care unit and go back to the medical unit without telling anyone

A patient with diabetic ketoacidosis is about to start an IV insulin infusion. The serum potassium is 3.0 mEq/L. What should the nurse do?

1. AIgnore the result, since potassium is always high in this condition and will correct itself
2. BReport the result before starting, because insulin will push potassium even lower
3. CGive the insulin as a fast bolus to bring the potassium up
4. DStart the insulin at once, because the glucose is the bigger problem