Scheda di esercizi di Priorità e delega con soluzioni

Which statement about pulse oximetry is correct?

1. ACold fingers or nail polish can give an inaccurate reading
2. BIt measures the carbon dioxide in the blood
3. CIt shows the patient’s blood glucose
4. DThe reading is always correct, whatever finger or hand is used

Which finding is one of the quick SOFA (qSOFA) criteria for possible sepsis?

1. AHeart rate below 60/min
2. BBlood glucose above 100 mg/dL
3. CRespiratory rate of 22/min or more
4. DTemperature below 36,5 °C on one reading

A patient has a Glasgow Coma Scale score of 8. What is the main concern?

1. AThe patient may not be able to protect the airway
2. BThe patient only has a mild headache
3. CThe patient is fully alert and oriented
4. DThe patient can safely eat and drink without help

A swimmer is found unresponsive after diving into shallow water. Which method should the nurse use to open the airway?

1. AJaw thrust, keeping the head and neck in line
2. BHead-tilt, chin-lift with full neck extension
3. CTurning the head to the side to drain water
4. DRaising the chin while bending the neck forward

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

1. ABlood glucose and weight
2. BBowel sounds and urine color
3. CTemperature and the latest pain score
4. DApical pulse and blood pressure

A nurse teaches a patient who uses crutches. Which statement shows a need for further teaching?

1. A“I will keep the crutch tips in good condition.”
2. B“I will remove loose rugs from the floor at home.”
3. C“I will lean on the crutch pads under my arms to rest.”
4. D“I will take my weight on my hands, not on my armpits.”

Four patients arrive at the emergency department at the same time. Who should be seen first?

1. AAn older adult with weakness on one side that began 40 minutes ago
2. BA child with a temperature of 39 °C who is alert and drinking
3. CA young adult with a swollen, painful ankle after a fall on the stairs
4. DAn adult with kidney stone pain of 9/10 and stable vital signs

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

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