Scheda di esercizi di Priorità e delega con soluzioni

In generale, quale tipo di problema si affronta prima degli altri?

1. AUn bisogno educativo per la dimissione
2. BUn problema elencato in un piano di assistenza precedente
3. CUn problema di rischio che potrebbe svilupparsi in seguito
4. DUn problema reale che il paziente ha adesso

Which capillary refill time is prolonged in an adult?

1. A4 seconds
2. BLess than 1 second
3. C1 second
4. D2 seconds

In Maslow’s hierarchy of needs, which level sits at the top?

1. AEsteem
2. BSafety and security
3. CSelf-actualization
4. DLove and belonging

Quale affermazione dimostra una corretta comprensione della responsabilità nella delega?

1. A"Resto responsabile della decisione di delegare e del follow-up sul risultato."
2. B"L'assistente infermieristico è responsabile del fatto che fosse giusto delegare il compito."
3. C"Una volta delegato un compito, non è più una mia preoccupazione."
4. D"Se il compito va male, è responsabile solo l'assistente."

During a blood transfusion, a patient develops chills, back pain and a fever. What is the nurse’s first action?

1. AStop the transfusion and keep the IV open with normal saline via new tubing
2. BSlow the transfusion and recheck in an hour
3. CGive an antipyretic and continue the transfusion
4. DFinish the unit quickly through a pressure bag so that the reaction does not last long

On day 3 after hip surgery, a patient suddenly becomes short of breath with sharp chest pain and an SpO₂ of 88%. What should the nurse do first?

1. AMassage the patient’s calves to ease any muscle cramp
2. BGive the next dose of oral analgesia and reassess the patient in an hour
3. CRaise the head of the bed, give oxygen and call for urgent help
4. DEncourage the patient to walk to improve the circulation

A patient at 32 weeks of pregnancy feels dizzy and faint while lying flat on her back. What should the nurse do first?

1. AGive her a sugary drink and keep her flat
2. BSit her upright with her head between her knees
3. CTurn her onto her left side
4. DRaise her legs while she stays on her back

A day after a femur fracture, a young patient becomes confused and breathless, with small red spots on the chest. What should the nurse suspect?

1. AAlcohol withdrawal
2. BAn allergic reaction to the cast
3. CFat embolism syndrome
4. DNormal pain after a fracture