Scheda di esercizi di Priorità e delega con soluzioni

A patient’s platelet count is 18,000/mm³ (18 × 10⁹/L). Which risk is the nursing priority?

1. ABleeding
2. BInfection
3. CFluid overload
4. DBlood clots

In a three-level triage system, what does “urgent” mean?

1. AMinor, and can safely wait for several hours
2. BAlready deceased on arrival
3. CLife-threatening and needs care immediately
4. DSerious but stable for now, and needs care soon

An adult arrives at the emergency department with chest pain. Which test should be done within about 10 minutes of arrival?

1. AAn exercise stress test
2. BA 12-lead ECG
3. CA lipid profile
4. DA chest CT scan

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

1. AHead-tilt, chin-lift with full neck extension
2. BJaw thrust, keeping the head and neck in line
3. CRaising the chin while bending the neck forward
4. DTurning the head to the side to drain water

Un infermiere vede un assistente infermieristico misurare la pressione arteriosa con un bracciale chiaramente troppo piccolo. Che cosa deve fare l'infermiere?

1. AAllontanare l'assistente dall'assistenza ai pazienti per la giornata
2. BIgnorarlo, perché una sola lettura alta non conta
3. CMenzionarlo più tardi alla prossima valutazione annuale dell'assistente
4. DIntervenire subito, correggere con tatto la tecnica e ricontrollare

Which postoperative patient should the nurse see first?

1. ADressing soaked with bright red blood and a heart rate rising to 118/min
2. BPain of 4/10 one hour after an oral analgesic
3. CAsking when the urinary catheter will be removed
4. DWants help with washing her hair before her visitors arrive this afternoon

A patient’s serum potassium is 6,1 mEq/L. Which of the patient’s medications should the nurse question first?

1. AOmeprazole
2. BHydrochlorothiazide
3. CFurosemide
4. DSpironolactone

A patient suddenly has severe pain in one leg. The leg is pale and cold with no pedal pulse. What does this suggest?

1. AA deep vein thrombosis that can be treated next week
2. BChronic venous insufficiency that needs elevation
3. CA muscle cramp that will pass with stretching
4. DAcute arterial occlusion, which is an emergency