उत्तरों सहित प्राथमिकता निर्धारण और प्रत्यायोजन वर्कशीट

प्रत्यायोजन में, "सही निर्देश और संवाद" का क्या अर्थ है?

1. Aकार्य को केवल रोगी के चार्ट में लिखना
2. Bप्रतिनिधि से कहना कि वह अपने निर्णय का उपयोग करे
3. Cस्पष्ट, विशिष्ट निर्देश: क्या करना है, कब, और क्या रिपोर्ट करना है
4. Dप्रतिनिधि से कहना कि कोई भी असामान्य निष्कर्ष शिफ़्ट के अंत में बताए

After caring for a patient with Clostridioides difficile diarrhea, how should the nurse clean their hands?

1. ANo hand hygiene is needed if gloves were worn
2. BUse alcohol hand rub only
3. CWash with soap and water
4. DWipe hands on a clean towel

Which arterial blood pH is within the normal range?

1. A7.40
2. B7.28
3. C7.18
4. D7.52

A nurse has given rapid-acting insulin, and then learns that the patient’s meal tray will be 45 minutes late. What should the nurse do?

1. AGive a second, smaller dose of insulin when the meal tray finally arrives
2. BTell the patient to wait and do nothing until the tray comes
3. CAsk the patient to walk around the ward until the food arrives
4. DGet the patient some carbohydrate food now and check the glucose

An older patient with dementia is restless at night and keeps trying to get out of bed. Which measure should the nurse try first?

1. ARaise all four bed rails so the patient cannot climb out
2. BGive a sedative from the as-needed list without first assessing the patient
3. CCheck for pain, thirst or a full bladder, and offer toileting
4. DApply wrist restraints for the rest of the night

A patient is receiving continuous tube feeds. Which action best reduces the risk of aspiration?

1. ALay the patient flat for an hour after each bag is hung
2. BIncrease the feed rate so the stomach empties sooner
3. CTurn the feed off only while the patient is asleep at night
4. DKeep the head of the bed raised to at least 30 degrees

A patient in hypovolemic shock is receiving IV fluids. Which finding best shows that the treatment is working?

1. AA heart rate that keeps rising after each bag of fluid
2. BCooler, paler skin on the arms and legs
3. CNew crackles at both lung bases
4. DUrine output at least 0.5 mL/kg/h and clearer thinking

A patient with MRSA in a wound is on contact precautions. Which instruction to the nursing assistant is correct?

1. AWear a gown and gloves for contact with the patient or the room, and use dedicated equipment
2. BWear a respirator mask in the room, because MRSA in a wound spreads through the air to others
3. CNo special precautions are needed if the wound is covered with a dressing
4. DOnly wear gloves when touching the wound itself; skin and bedding are safe