Scheda di esercizi di Priorità e delega con soluzioni

Nella delega, che cosa significano "indicazioni e comunicazione giuste"?

1. AIstruzioni chiare e specifiche: che cosa fare, quando e che cosa riferire
2. BChiedere al delegato di riferire eventuali reperti insoliti a fine turno
3. CScrivere il compito solo nella cartella del paziente
4. DDire al delegato di usare il proprio giudizio

Quale bisogno del paziente appartiene al livello della sicurezza della gerarchia di Maslow?

1. AAmicizia
2. BOssigeno
3. CProtezione dalle cadute
4. DRiconoscimento da parte degli altri

Which laboratory finding is expected in a patient with chronic kidney disease who receives dialysis?

1. AA platelet count of 900,000/mm³
2. BA low serum creatinine
3. CA serum sodium of 160 mEq/L
4. DA raised serum creatinine

A patient taking clozapine reports a sore throat and fever. What is the priority action?

1. AAdvise the patient to gargle with warm salt water and rest in bed
2. BOffer throat lozenges and continue the usual dose
3. CHold the dose and report so the white cell count can be checked
4. DIncrease the dose because the symptoms suggest a relapse

A woman calls to say her husband suddenly has a drooping face and slurred speech. What should the nurse advise?

1. ALet him lie down and see if it improves
2. BBook an appointment with his doctor next week
3. CCall emergency services now and note the time it started
4. DDrive him to the hospital yourself after he has eaten dinner

On the first day after abdominal surgery, a patient has a temperature of 37,9 °C and reduced breath sounds at the lung bases. Which nursing action is most helpful?

1. AKeep the patient lying flat in bed to rest the incision fully
2. BGive a cough suppressant so that the incision is not strained
3. CRestrict oral fluids so that the lungs do not fill up with extra fluid
4. DEncourage deep breathing, coughing and use of the incentive spirometer

A patient at 34 weeks of pregnancy has painless, bright red vaginal bleeding. Which action should the nurse avoid?

1. AMeasuring the blood pressure and pulse
2. BMonitoring the fetal heart rate
3. CA vaginal examination
4. DWeighing the pads to estimate blood loss

A severely malnourished patient started nutrition two days ago and now has weakness and confusion. Which laboratory result should the nurse check first?

1. ASerum cholesterol
2. BSerum phosphate
3. CThyroid hormone
4. DSerum amylase