Werkblad Prioriteren en delegeren met antwoorden

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

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

Which serum lithium level suggests toxicity?

1. A0,7 mEq/L
2. B0,8 mEq/L
3. C2,2 mEq/L
4. D1,0 mEq/L

Welke van deze is een fysiologische behoefte in de hiërarchie van Maslow?

1. AZich deel van een gezin voelen
2. BDoor anderen gerespecteerd worden
3. CUitscheiding van urine en ontlasting
4. DZich veilig voelen thuis

Which action by a nursing assistant needs the nurse to step in?

1. APutting the call light within the patient’s reach
2. BTaking an oral temperature just after the patient drank cold water
3. CCleaning hands before entering the room
4. DLowering the bed to its lowest position and locking the wheels after care

A patient with heart failure gained 2 kg (about 4 lb) since yesterday and is more breathless when lying down. What should the nurse do first?

1. AAssess the lungs, oxygen saturation and swelling, then inform the provider
2. BRecord the weight on the chart and recheck it at the next weekly weigh-in
3. CLay the patient flat to help them breathe more easily
4. DEncourage extra fluids to correct the weight change

A patient with a spinal cord injury at T4 suddenly has a severe headache, flushing above the injury and a blood pressure of 200/110 mmHg. What does the nurse do first?

1. ASit the patient upright with the legs lowered
2. BGive a warm drink and recheck the blood pressure in an hour
3. CLay the patient flat with the legs raised
4. DApply extra blankets to keep the patient warm and calm

A patient is bleeding internally after a fall. Which finding is usually an early sign of hypovolemic shock?

1. ALoss of consciousness with gasping breaths
2. BA slow heart rate with warm, dry, flushed skin and a normal blood pressure throughout
3. CA very low blood pressure with fixed, dilated pupils
4. DRestlessness and a rising heart rate while the blood pressure is still normal

Een patiënt met een hoofdletsel en een beenfractuur wordt bewaakt. Welke bevinding is de prioriteit?

1. AEen kleine schaafwond op de elleboog
2. BBeenpijn van 6/10 ondanks de laatste dosis pijnstilling
3. CDe patiënt vraagt om iets te eten
4. DDe Glasgow Coma Scale-score daalt van 15 naar 12