1.ง่าย
Which item belongs in a sharps container?
- AA pair of used gloves
- BA soiled gauze dressing
- CA used scalpel blade
- DAn empty IV bag with the tubing removed
2.ง่าย
Why are a low bed and floor mats used for some patients at high risk of falls?
- AThey stop the patient from ever leaving the bed
- BThey reduce the risk of injury if the patient falls out of bed
- CThey help the patient sleep more deeply
- DThey make it easier for staff to clean under and around the bed
3.ง่าย
Which aid makes it safer to move a patient sideways from a bed to a stretcher?
- AA friction-reducing slide sheet or transfer board
- BPulling the patient by the arms and legs
- CA wheelchair placed between the bed and stretcher
- DA gait belt around the patient’s waist
4.ปานกลาง
A patient has severe neutropenia after chemotherapy. Which route for measuring temperature should be avoided?
- AOral
- BTemporal artery
- CTympanic
- DRectal
5.ปานกลาง
A family member will visit a patient on contact precautions. What should the nurse do?
- AShow them how to use the gown and gloves and how to clean their hands
- BTell them precautions only apply to staff
- CAsk them to wear an N95 respirator only, with no gown or gloves
- DTell them visits are not allowed at all
6.ปานกลาง
A confused patient keeps pulling at an IV line. Which is a less restrictive option to consider before wrist restraints?
- AUsing a vest restraint in the chair so that the patient’s hands stay down
- BGiving a sedative every few hours
- CTying both arms to the bed frame
- DCovering the site with a sleeve or using hand mitts with supervision
7.ยาก
Shortly after a patient falls, the team holds a brief “post-fall huddle”. What is its main purpose?
- ATo decide which staff member was to blame for the fall
- BTo find out quickly why the fall happened and change the care plan to prevent another
- CTo agree on what the team will tell the patient’s lawyer and the family
- DTo complete the patient’s discharge paperwork
8.ยาก
A patient in a vest restraint has slid down in bed, and the vest is pressing against the neck. What should the nurse do first?
- AWrite a note about the event in the chart
- BRelease the restraint at once and reposition the patient
- CTighten the vest so the patient cannot slide down again
- DCall the provider to ask about a different restraint
เฉลย
- 1. C · A used scalpel blade
- 2. B · They reduce the risk of injury if the patient falls out of bed
- 3. A · A friction-reducing slide sheet or transfer board
- 4. D · Rectal
- 5. A · Show them how to use the gown and gloves and how to clean their hands
- 6. D · Covering the site with a sleeve or using hand mitts with supervision
- 7. B · To find out quickly why the fall happened and change the care plan to prevent another
- 8. B · Release the restraint at once and reposition the patient
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