उत्तरों सहित प्राथमिकता निर्धारण और प्रत्यायोजन वर्कशीट

ABC ढाँचे में, कौन-सी समस्या परिसंचरण की समस्या है?

1. Aस्ट्राइडर
2. Bचिंता
3. Cअनियंत्रित रक्तस्राव
4. D32/मिनट की श्वसन दर

Which statement about pulse oximetry is correct?

1. AIt shows the patient’s blood glucose
2. BIt measures the carbon dioxide in the blood
3. CCold fingers or nail polish can give an inaccurate reading
4. DThe reading is always correct, whatever finger or hand is used

Which patient needs a single room with airborne precautions?

1. AA patient with type 2 diabetes
2. BA patient with a urinary tract infection and a catheter
3. CA patient with a fractured femur
4. DA patient with suspected pulmonary tuberculosis

A swimmer is found unresponsive after diving into shallow water. Which method should the nurse use to open the airway?

1. AHead-tilt, chin-lift with full neck extension
2. BRaising the chin while bending the neck forward
3. CJaw thrust, keeping the head and neck in line
4. DTurning the head to the side to drain water

A patient with a head injury is being monitored. Which set of findings suggests rising intracranial pressure?

1. ALow temperature, fast breathing and a strong appetite
2. BFalling blood pressure, a fast pulse and warm, flushed dry skin
3. CNormal blood pressure, normal pulse and clear speech
4. DRising systolic pressure, slow pulse and irregular breathing

One day after surgery, a patient walked safely with the RN this morning. The RN now asks a nursing assistant to walk her again. Which instruction is most important?

1. A“Walk her to the end of the corridor and back twice before lunch.”
2. B“Try to finish the walk before the lunch trays arrive.”
3. C“Stop and call me at once if she feels dizzy or short of breath.”
4. D“Make sure she wears her own slippers if she has them.”

Which patient finding after a total knee replacement needs the nurse’s action first?

1. AA small amount of dried blood on the dressing
2. BAsks for an ice pack to help with swelling around the knee
3. CSudden calf pain and swelling in the operated leg, with new breathlessness
4. DPain of 4/10 when the physiotherapist bends the knee during the morning session

नर्स को किस रोगी की नियोजित डिस्चार्ज पर प्रश्न उठाना चाहिए?

1. Aस्थिर कास्ट वाला रोगी जो बैसाखियों से सुरक्षित चल रहा है
2. Bनिमोनिया का रोगी जो मौखिक एंटीबायोटिक पर 48 घंटे से बिना बुखार के है
3. Cहर्निया की मरम्मत के बाद का रोगी जो मूत्र त्याग रहा है और खा रहा है
4. Dसर्जरी के दो दिन बाद का रोगी, नई हृदय गति 112/मिनट और तापमान 38.4 °C