Werkblad Prioriteren en delegeren met antwoorden

Where is intramuscular epinephrine usually injected for anaphylaxis?

1. AA vein in the hand
2. BThe outer middle thigh
3. CThe buttock
4. DThe abdomen under the skin

A patient’s respiratory rate is 30/min at rest. How should the nurse classify this finding in an adult?

1. AAbnormally fast and needing assessment
2. BSlow, and expected while the patient is asleep
3. CNormal after a meal
4. DWithin the normal adult range

A patient’s urine output is 15 mL/h for three hours. How should the nurse classify this in an adult?

1. ALow and needing to be reported
2. BHigh, suggesting fluid overload
3. CNormal for an adult at rest
4. DExpected after drinking fluids

A patient has a serum potassium of 6,8 mEq/L. Which action comes first?

1. ARecheck the level next week
2. BGive the patient’s scheduled potassium supplement
3. CEncourage foods high in potassium
4. DPlace the patient on a cardiac monitor

A patient is in skeletal traction. Which finding needs the nurse to act?

1. AThe weights are hanging freely
2. BThe weights are resting on the floor
3. CThe ropes are in the pulleys
4. DThe patient’s body is in line with the traction

A patient has a nasogastric tube on suction. Which task can the nurse delegate to a nursing assistant?

1. AAssessing the drainage for blood
2. BIrrigating the tube when it blocks
3. CGiving mouth care
4. DChecking the tube’s position

The charge nurse overhears four instructions from an RN to a nursing assistant. Which one needs to be corrected?

1. A“Walk him to the bathroom and back, and stay with him the whole time.”
2. B“Check his glucose and give the insulin according to the sliding scale.”
3. C“Help him wash and change, and tell me at once if you see any red or broken skin.”
4. D“Check his glucose before lunch and tell me the number straight away.”

A nurse sees a colleague put a vial of an opioid into their own pocket instead of returning it. What should the nurse do?

1. ATell the patients to watch the colleague carefully
2. BAsk the colleague to share the vial with them
3. CReport it to the nurse manager according to policy
4. DSay nothing, because it is not their business