Werkblad Prioriteren en delegeren met antwoorden

In stroke care, what does the “last known well” time mean?

1. AThe last time the patient was seen without stroke symptoms
2. BThe time of the patient’s last meal
3. CThe time the first symptom was noticed by a stranger
4. DThe time the patient arrived at the hospital and was triaged

In which situation can a pulse oximeter give a falsely normal reading?

1. AA patient breathing room air normally
2. BA healthy adult at rest
3. CCarbon monoxide poisoning
4. DA warm, well-perfused finger

What does NPO mean on a patient’s care plan?

1. ANo pain observed
2. BNot for physical therapy
3. CNormal patient observations
4. DNothing by mouth

Welke patiënt moet de verpleegkundige op een gemengde interne afdeling als eerste zien?

1. AEen patiënt met een depressie die zijn bezittingen heeft weggegeven en een suïcideplan heeft
2. BEen patiënt die om schriftelijke informatie vraagt over het ontslag van morgen
3. CEen patiënt met milde spanningshoofdpijn die om paracetamol vraagt
4. DEen patiënt met hypertensie van wie de bloeddruk 136/84 mmHg is

Which finding is an early sign of compartment syndrome in a patient with a lower leg fracture?

1. APain out of proportion to the injury that worsens when the toes are stretched
2. BA strong pedal pulse with warm, pink toes and pain that settles with analgesia
3. CMild bruising around the fracture site on the second day
4. DItching under the cast during the first week after it was applied

A patient has a tonic-clonic seizure in bed. What should the nurse do first?

1. AGive a drink of water to help the patient wake
2. BProtect the head and turn the patient on their side when possible
3. CHold the arms and legs down firmly to stop the jerking movements quickly
4. DPlace a tongue depressor between the teeth

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. CLeave on time, because the shift has officially ended
4. DAsk a nursing assistant to watch the patients until someone comes

A patient receiving comfort-focused end-of-life care is distressed by breathlessness. Which approach is most appropriate?

1. AWithhold all opioids because they may slow breathing
2. BLeave the patient alone so they can rest
3. CGive prescribed opioids and use positioning and a fan to relieve breathlessness
4. DStart a series of aggressive tests to find the exact cause of the breathlessness