Werkblad Prioriteren en delegeren met antwoorden

Which patient is unstable?

1. AA patient with long-standing arthritis pain of 3/10
2. BA patient with a healing leg wound and normal vital signs this morning
3. CA patient waiting for a planned hip X-ray
4. DA patient with a new irregular pulse who says they feel dizzy

Which finding is one of the quick SOFA (qSOFA) criteria for possible sepsis?

1. ARespiratory rate of 22/min or more
2. BTemperature below 36,5 °C on one reading
3. CBlood glucose above 100 mg/dL
4. DHeart rate below 60/min

What is the main purpose of an incident report?

1. ATo decide which staff member should be punished
2. BTo replace the nurse’s notes in the patient’s record
3. CTo improve safety by finding out why events happen
4. DTo inform the patient’s insurance company

Two hours after birth, the nurse finds the uterus firm but above the umbilicus and pushed to the right. What should the nurse do first?

1. AHelp the patient empty her bladder
2. BMassage the uterus firmly for ten minutes
3. CGive a dose of oxytocin straight away
4. DAsk the patient to lie still for another hour

A patient with asthma has two inhalers: a corticosteroid and salbutamol (albuterol). Which statement shows a need for further teaching?

1. A“I will use my steroid inhaler when I have a sudden attack.”
2. B“I will rinse my mouth after using the steroid inhaler.”
3. C“I will carry my salbutamol inhaler with me.”
4. D“I will use my steroid inhaler every day, even when I feel well.”

Een verpleegkundige ziet een zorgassistent een bloeddruk meten met een manchet die duidelijk te klein is. Wat moet de verpleegkundige doen?

1. AHet negeren, want één hoge meting maakt niet uit
2. BDe assistent voor de rest van de dag van de patiëntenzorg halen
3. CHet later noemen bij het volgende jaarlijkse beoordelingsgesprek van de assistent
4. DNu ingrijpen, de techniek tactvol corrigeren en opnieuw meten

An adult choking on food is coughing forcefully and can speak a little. What should the nurse do?

1. AEncourage the patient to keep coughing and stay with them
2. BSweep the mouth blindly with a finger
3. CGive the patient water to wash the food down
4. DGive abdominal thrusts straight away until the food comes out

An 85-year-old resident becomes newly confused and is falling, but has no fever. Which cause should the nurse consider first?

1. AA sudden worsening of long-standing dementia that needs no tests
2. BAn infection, such as a urinary tract infection, presenting atypically
3. CBoredom from not having enough activities
4. DNormal aging that needs no assessment