Scheda di esercizi di Priorità e delega con soluzioni

Which statement about pulse oximetry is correct?

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

What does the Braden Scale measure?

1. AThe severity of alcohol withdrawal symptoms
2. BThe level of consciousness after a head injury
3. CThe risk of falling during a hospital stay
4. DThe risk of developing a pressure injury

When is the Apgar score usually assessed?

1. AAt 1 and 5 minutes after birth
2. BAt the first postnatal clinic visit
3. CBefore the baby is born
4. DOnly at 24 hours after birth

A patient with heart failure gained 2 kg (about 4 lb) since yesterday and is more breathless when lying down. What should the nurse do first?

1. ARecord the weight on the chart and recheck it at the next weekly weigh-in
2. BLay the patient flat to help them breathe more easily
3. CEncourage extra fluids to correct the weight change
4. DAssess the lungs, oxygen saturation and swelling, then inform the provider

A nurse cannot read part of a medication order. What should the nurse do?

1. ASkip the drug and not tell anyone until the next ward round
2. BGive the usual dose of the drug the nurse thinks was meant
3. CAsk another nurse to guess what the order most likely says, then give it
4. DContact the prescriber to clarify the order before giving the drug

A patient receiving chemotherapy has a temperature of 38,3 °C and a very low neutrophil count. What should the nurse do?

1. ARecheck the temperature in four hours before telling anyone
2. BGive a cool shower and offer extra fluids, then wait and see what happens
3. CDocument the reading and mention it at the next handover
4. DReport it at once, because cultures and antibiotics are needed quickly

A child is admitted with a suspected Wilms tumor (nephroblastoma). Which instruction is most important for all staff?

1. ADo not palpate the abdomen
2. BMeasure abdominal girth by pressing firmly
3. CGive a warm bath with abdominal massage
4. DEncourage the child to play contact sports

A marathon runner is confused, with a temperature of 41 °C and hot skin. What is the priority?

1. AGiving an antipyretic tablet and waiting for it to work
2. BRapid cooling while supporting airway and circulation
3. CWrapping the runner in a blanket to prevent shivering
4. DAsking the runner to rest in the shade and drink slowly