Scheda di esercizi di Priorità e delega con soluzioni

Which fasting blood glucose value is normal for an adult without diabetes?

1. A145 mg/dL (8,0 mmol/L)
2. B85 mg/dL (4,7 mmol/L)
3. C55 mg/dL (3,1 mmol/L)
4. D210 mg/dL (11,7 mmol/L)

Which patient is unstable?

1. AA patient waiting for a planned hip X-ray
2. BA patient with a healing leg wound and normal vital signs this morning
3. CA patient with a new irregular pulse who says they feel dizzy
4. DA patient with long-standing arthritis pain of 3/10

An adult without lung disease is breathing room air. Which SpO₂ reading needs action?

1. A96%
2. B89%
3. C97%
4. D99%

A patient is in skeletal traction. Which finding needs the nurse to act?

1. AThe ropes are in the pulleys
2. BThe patient’s body is in line with the traction
3. CThe weights are hanging freely
4. DThe weights are resting on the floor

A nurse teaches a patient about storing insulin at home. Which statement shows a need for further teaching?

1. A“I will keep my spare insulin in the freezer so it lasts longer.”
2. B“I will check the expiry date on the label before I use the vial.”
3. C“I will not leave my insulin in a hot car.”
4. D“I will keep unopened insulin in the fridge.”

A nurse sees a nursing assistant leave a confused patient’s bed in the highest position after care. What should the nurse do?

1. ALower the bed now and remind the assistant why it matters
2. BWrite it in the assistant’s yearly review only
3. CAsk the family to lower the bed when they next visit
4. DLeave it because the patient is asleep

An 85-year-old resident becomes newly confused and is falling, but has no fever. Which cause should the nurse consider first?

1. AA sudden worsening of long-standing dementia that needs no tests
2. BAn infection, such as a urinary tract infection, presenting atypically
3. CNormal aging that needs no assessment
4. DBoredom from not having enough activities

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. BA higher dose of haloperidol to calm the patient and stop the movements quickly
3. CPhysical restraint until the spasm passes
4. DNo action, because the spasm is a sign of improvement