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. B55 mg/dL (3,1 mmol/L)
3. C85 mg/dL (4,7 mmol/L)
4. D210 mg/dL (11,7 mmol/L)

Quale problema del paziente ha in genere la priorità più alta?

1. AAnsia
2. BOstruzione delle vie aeree
3. CDolore acuto
4. DDeficit di conoscenze sui farmaci

In the United States, which law sets out the scope of nursing practice in each state?

1. AThe federal tax code
2. BThe hospital’s visitor policy
3. CThe Food and Drug Administration rules
4. DThe state Nurse Practice Act

Un assistente infermieristico riferisce su quattro pazienti. Quale segnalazione richiede per prima l'attenzione dell'infermiere?

1. AUn paziente chiede un cuscino in più
2. BUn paziente a un giorno da un intervento addominale è irrequieto da poco e ha una frequenza cardiaca di 124/min
3. CUn paziente ha emesso 300 mL di urina nelle ultime 6 ore
4. DUn paziente con BPCO ha una SpO₂ del 90% a riposo, in linea con i suoi valori abituali

A nasogastric tube has just been placed for feeding. What must happen before the first feed is given?

1. APlacement is confirmed by an approved method
2. BThe tube is flushed with a large volume of water
3. CThe feed is started slowly to see if the patient coughs
4. DThe patient is asked if the tube feels comfortable

Which patient is most suitable for the nurse to assign to a nurse who has just finished orientation?

1. AA patient with a new tracheostomy who needs frequent suctioning
2. BA patient with sepsis whose blood pressure is falling
3. CA patient with stable cellulitis on scheduled IV antibiotics
4. DA patient on a continuous heparin infusion with rising aPTT values

Which nursing approach may raise intracranial pressure in a patient with a head injury?

1. ADoing suctioning, turning and bathing all at the same time
2. BSpacing out care with rest periods in between activities
3. CKeeping the head in line with the body
4. DKeeping the room calm and quiet

A patient has full-thickness burns all the way around the chest and is finding it harder to breathe, although the airway is clear. What does this suggest?

1. AThe patient has had too little IV fluid and needs a fast bolus to improve the breathing
2. BThe burns are healing and the skin is tightening normally
3. CThe patient is anxious and only needs reassurance
4. DThe tight burned skin is restricting chest movement, so an escharotomy may be needed