Scheda di esercizi di Priorità e delega con soluzioni

Where is intramuscular epinephrine usually injected for anaphylaxis?

1. AThe outer middle thigh
2. BThe abdomen under the skin
3. CA vein in the hand
4. DThe buttock

Which blood pressure in an adult suggests hypotension?

1. A118/76 mmHg
2. B126/82 mmHg
3. C110/70 mmHg
4. D82/48 mmHg

After chemotherapy, a patient has a very low neutrophil count. Which risk is the nursing priority?

1. ABleeding
2. BInfection
3. CDehydration
4. DHypertension

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

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

Which action helps prevent a catheter-associated urinary tract infection?

1. AKeeping the drainage bag below the level of the bladder
2. BRaising the drainage bag above the bladder when walking
3. CDisconnecting the bag every shift to empty it
4. DLeaving the catheter in place longer than needed

A nursing assistant offers to suction a patient’s new tracheostomy. Which response from the RN is best?

1. A“Ask the patient’s family to do the suctioning today.”
2. B“Thank you, please suction him as needed and tell me how it went.”
3. C“Suctioning a new tracheostomy is my task; I will do it myself.”
4. D“Leave the suctioning until the next shift arrives.”

A patient on a cardiac monitor suddenly becomes unresponsive, and the monitor shows ventricular fibrillation. What is the priority once help has been called?

1. ARecord a full 12-lead ECG to confirm the rhythm before doing anything else at all
2. BGive an oral antiarrhythmic tablet and recheck the rhythm in five minutes
3. CCheck the blood potassium level before any shock is considered
4. DDefibrillate as soon as the defibrillator is available, with CPR until then

A patient takes lithium. Which statement shows a need for further teaching?

1. A“I will drink enough fluid every day.”
2. B“I will go for my blood tests as planned.”
3. C“I will keep my daily salt intake about the same as usual.”
4. D“I will take ibuprofen every day for my headaches.”