Werkblad Prioriteren en delegeren met antwoorden

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

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

In mass-casualty triage, what does a yellow tag usually mean?

1. AMinor: the walking wounded
2. BDelayed: serious injuries, but care can safely wait a little
3. CImmediate: life-threatening injuries that are survivable with quick care
4. DDeceased or not expected to survive

Which patient concern belongs to the esteem level of Maslow’s hierarchy?

1. AMissing friends from home
2. BThirst after a long period of fasting before a test
3. CFear of slipping in the shower
4. DWorry about body image after a mastectomy

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

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

On day 3 after hip surgery, a patient suddenly becomes short of breath with sharp chest pain and an SpO₂ of 88%. What should the nurse do first?

1. AMassage the patient’s calves to ease any muscle cramp
2. BEncourage the patient to walk to improve the circulation
3. CRaise the head of the bed, give oxygen and call for urgent help
4. DGive the next dose of oral analgesia and reassess the patient in an hour

Welke instructie aan een zorgassistent is het duidelijkst?

1. A"Houd meneer Lee vanochtend in de gaten en laat me weten hoe het met hem gaat."
2. B"Meet om 10:00 uur de bloeddruk van meneer Lee en meld het me meteen als de systolische druk onder 100 is."
3. C"Doe de vitale functies van meneer Lee ergens vóór de lunch en schrijf ze voor me in het dossier."
4. D"Laat het me weten als er iets mis lijkt met meneer Lee terwijl je bij hem bent."

Two weeks after birth, a mother says she hears voices telling her the baby is evil. What is the priority?

1. AAdvise more sleep and book a routine follow-up visit for next month
2. BKeep the mother and baby safe and arrange urgent psychiatric care
3. CLeave her alone with the baby to bond
4. DReassure her that this is normal “baby blues”

A patient is deteriorating quickly. The nurse has called the provider twice, but the provider has not come. What is the best action?

1. AWait another hour and call the provider again
2. BAsk the patient’s family to call the provider
3. CActivate the rapid response team
4. DDocument the concern and continue routine care