Scheda di esercizi di Priorità e delega con soluzioni

Which medication reverses opioid-induced respiratory depression?

1. ANaloxone
2. BFlumazenil
3. CProtamine sulfate
4. DVitamin K

A patient’s platelet count is 18,000/mm³ (18 × 10⁹/L). Which risk is the nursing priority?

1. ABlood clots
2. BInfection
3. CBleeding
4. DFluid overload

Which symptoms are classic signs of digoxin toxicity?

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

A patient on a continuous IV heparin infusion has new black, tarry stools and an aPTT well above the target range. What should the nurse do first?

1. ACheck the pump rate and leave the infusion running
2. BOffer an iron-rich meal to replace the lost blood
3. CGive a dose of vitamin K by mouth
4. DStop the heparin infusion and inform the provider

Un infermiere delega la misurazione della glicemia a un assistente formato, ma non ne chiede mai il risultato. Quale diritto della delega manca?

1. APersona giusta per il compito
2. BCircostanza giusta
3. CCompito giusto per il contesto
4. DSupervisione e verifica giuste

Un adulto stabile ha dolore addominale e parametri vitali normali. Avrà bisogno di esami del sangue e di una TC. Quale livello ESI è adatto?

1. ALivello 5
2. BLivello 1
3. CLivello 4
4. DLivello 3

Two patients on the unit have the same surname. What should the nurse do before giving a medication?

1. ACheck two identifiers against the wristband and the medication record
2. BUse the room number as the main identifier
3. CAsk a nursing assistant which patient is which
4. DAsk the patient, “Are you Mr Smith?” and give the drug once he says yes

During surgery under general anesthesia, a patient develops rising end-tidal carbon dioxide, muscle rigidity and a rapidly increasing temperature. Which drug should the nurse anticipate?

1. ADantrolene
2. BNaloxone
3. CFlumazenil
4. DAtropine