उत्तरों सहित प्राथमिकता निर्धारण और प्रत्यायोजन वर्कशीट

What does a “STAT” order mean?

1. ACarry it out within the next 24 hours
2. BCarry it out only if the patient asks for it
3. CCarry it out immediately
4. DCarry it out at the next routine round

Which symptoms are classic signs of digoxin toxicity?

1. ANausea, poor appetite and yellow-green visual halos
2. BHigh blood sugar and increased thirst
3. CA rash, high fever and swollen lymph nodes in the neck
4. DHair loss and weight gain

प्रत्यायोजन में, "सही पर्यवेक्षण और मूल्यांकन" का क्या अर्थ है?

1. Aनर्स अनुवर्तन करती है, आवश्यकता होने पर हस्तक्षेप करती है और परिणाम जाँचती है
2. Bनर्स हर प्रत्यायोजित कार्य के हर सेकंड पर नज़र रखती है
3. Cप्रतिनिधि बाद में अपने कार्य की जाँच करता है और स्वयं हस्ताक्षर करता है
4. Dचार्ज नर्स शिफ़्ट के अंत में सभी प्रत्यायोजित कार्यों पर हस्ताक्षर करती है

Two nursing assistants argue loudly at the station about their assignments. What is the charge nurse’s best first step?

1. AReport them to human resources at once
2. BIgnore it and hope they sort it out
3. CMeet both of them privately to hear each side
4. DChange both of their assignments without any discussion

A nasogastric tube has just been placed for feeding. What must happen before the first feed is given?

1. AThe patient is asked if the tube feels comfortable
2. BThe feed is started slowly to see if the patient coughs
3. CPlacement is confirmed by an approved method
4. DThe tube is flushed with a large volume of water

A patient taking warfarin has an INR of 5.2 and no signs of bleeding. What should the nurse do?

1. AGive the usual dose and recheck the INR next month
2. BHold the warfarin dose and inform the provider
3. CGive a double dose to correct the result
4. DEncourage the patient to take aspirin for pain

A patient with Guillain-Barré syndrome has weakness that is spreading up from the legs. Which assessment has the highest priority?

1. ABreathing strength, such as vital capacity and the ability to cough
2. BThe patient’s mood and coping
3. CSkin condition over the heels
4. DMuscle strength in the feet and ankles at the start of each morning

A patient receiving comfort-focused end-of-life care is distressed by breathlessness. Which approach is most appropriate?

1. ALeave the patient alone so they can rest
2. BStart a series of aggressive tests to find the exact cause of the breathlessness
3. CWithhold all opioids because they may slow breathing
4. DGive prescribed opioids and use positioning and a fan to relieve breathlessness