Werkblad Prioriteren en delegeren met antwoorden

A nurse is worried about a patient’s worsening condition, and the provider does not respond to the concern. Following the chain of command, whom does the nurse usually contact next?

1. AThe patient’s next of kin
2. BThe hospital’s chief executive
3. CThe pharmacy technician on duty that day
4. DThe charge nurse or nursing supervisor

After chemotherapy, a patient has a very low neutrophil count. Which risk is the nursing priority?

1. AHypertension
2. BDehydration
3. CInfection
4. DBleeding

What is the CIWA scale used to assess?

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

After a hip replacement using a posterior approach, which statement shows a need for further teaching?

1. A“I will cross my legs when I sit, so I am more comfortable.”
2. B“I will keep a pillow between my knees when I lie on my side in bed.”
3. C“I will use a raised toilet seat at home.”
4. D“I will not bend my hip past 90 degrees.”

A patient with a valid do-not-resuscitate order (DNR; called DNACPR in the UK) stops breathing and has no pulse. What should the nurse do?

1. AStart CPR and stop when the family arrives
2. BCall the cardiac arrest team and let them decide
3. CFollow the DNR order and do not start CPR
4. DStart chest compressions but not rescue breaths

A patient receiving chemotherapy has a temperature of 38,3 °C and a very low neutrophil count. What should the nurse do?

1. ADocument the reading and mention it at the next handover
2. BRecheck the temperature in four hours before telling anyone
3. CGive a cool shower and offer extra fluids, then wait and see what happens
4. DReport it at once, because cultures and antibiotics are needed quickly

An RN has five patients and a nursing assistant. One patient has just become short of breath. Which task should the RN delegate so that the RN can go to that patient?

1. AExplaining the new diagnosis to the breathless patient’s family
2. BAssessing the breathless patient’s lung sounds
3. CGiving the breathless patient’s IV furosemide
4. DMorning vital signs on the four stable patients

A chemical cleaning fluid splashes into a patient’s eye. What should the nurse do first?

1. AGive antibiotic eye drops first
2. BCover the eye with a dry patch and wait for the provider
3. CFlush the eye with plenty of water or saline straight away
4. DRub the eye gently with a clean tissue to remove the chemical