उत्तरों सहित प्राथमिकता निर्धारण और प्रत्यायोजन वर्कशीट

अन्य सब बराबर होने पर, कौन-सी समस्या आमतौर पर प्राथमिकता पाती है?

1. Aपुरानी दीर्घकालिक समस्या, क्योंकि वह रोगी के जीवन के अधिक भाग को प्रभावित करती है
2. Bवह समस्या जिसे ठीक करने में सबसे कम समय लगे
3. Cनई, तीव्र समस्या
4. Dवह समस्या जिसे लेकर परिवार सबसे अधिक चिंतित है

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

1. AHigh, suggesting fluid overload
2. BExpected after drinking fluids
3. CNormal for an adult at rest
4. DLow and needing to be reported

Does asking a patient directly about suicidal thoughts increase their risk?

1. AYes; asking about it may give the patient the idea
2. BOnly when the question is asked in writing
3. CNo; asking directly is safe and helps assess the risk
4. DOnly if the patient is over 65 years old

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

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

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

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

Before giving a scheduled dose of metoprolol, which assessment is most important?

1. ATemperature and the latest pain score
2. BBlood glucose and weight
3. CApical pulse and blood pressure
4. DBowel sounds and urine color

A nursing assistant has twice not reported abnormal vital signs to the RN. What is the RN’s best action?

1. ASay nothing to the assistant and quietly recheck all of the assistant’s vital signs in secret
2. BStop delegating any tasks to the assistant for the rest of the year
3. CComplain about the assistant to the patients during care
4. DTalk to the assistant privately, restate what must be reported and follow up closely

Two days after starting haloperidol, a patient suddenly develops painful neck twisting and the eyes roll upwards. What should the nurse anticipate?

1. AAn anticholinergic drug, such as benztropine or procyclidine, as prescribed
2. BNo action, because the spasm is a sign of improvement
3. CA higher dose of haloperidol to calm the patient and stop the movements quickly
4. DPhysical restraint until the spasm passes