Scheda di esercizi di Priorità e delega con soluzioni

What is the CIWA scale used to assess?

1. AThe risk of a pressure injury
2. BThe severity of alcohol withdrawal
3. CThe severity of a newborn’s jaundice
4. DThe depth of a burn wound

Which finding should a nursing assistant report to the nurse at once?

1. AA patient who would like tea instead of coffee
2. BA pulse of 42/min in a patient whose usual pulse is 76/min
3. CA patient who wants to shower in the evening
4. DA patient whose weight is unchanged from yesterday

Which hemoglobin result is low for an adult woman?

1. A13,2 g/dL (132 g/L)
2. B14,0 g/dL (140 g/L)
3. C12,6 g/dL (126 g/L)
4. D7,8 g/dL (78 g/L)

A patient had a colostomy formed yesterday. Which stoma appearance should be reported straight away?

1. ADark purple or black
2. BSlightly swollen
3. CMoist and pink-red
4. DA little bleeding when cleaned

A patient is raising his voice, pacing and clenching his fists. What should the nurse do first?

1. AStand very close to him and tell him firmly and loudly to sit down and be quiet
2. BApply physical restraints at once
3. CSpeak calmly, keep a safe distance and invite him to talk about what is wrong
4. DTurn away and ignore the behavior

Un paziente adulto che sta mangiando nella sala comune si porta all'improvviso le mani alla gola e non riesce a parlare, respirare o tossire. Che cosa deve fare per prima l'infermiere?

1. AChiamare aiuto e dare colpi dorsali e compressioni addominali
2. BFare un'estrazione cieca con il dito dalla bocca
3. CAspettare per vedere se il paziente riesce a tossire
4. DDare al paziente un bicchiere d'acqua per mandare giù il cibo

A patient with diabetic ketoacidosis is about to start an IV insulin infusion. The serum potassium is 3,0 mEq/L. What should the nurse do?

1. AGive the insulin as a fast bolus to bring the potassium up
2. BReport the result before starting, because insulin will push potassium even lower
3. CIgnore the result, since potassium is always high in this condition and will correct itself
4. DStart the insulin at once, because the glucose is the bigger problem

At the end of a shift, the nurse’s relief has not arrived and the patients are acutely ill. What should the nurse do?

1. AStay and tell the charge nurse, and hand over before leaving
2. BLeave a written note at the station and go home
3. CAsk a nursing assistant to watch the patients until someone comes
4. DLeave on time, because the shift has officially ended