ใบงาน การจัดลำดับความสำคัญและการมอบหมายงาน พร้อมเฉลย

In stroke care, what does the “last known well” time mean?

1. AThe time the patient arrived at the hospital and was triaged
2. BThe time of the patient’s last meal
3. CThe time the first symptom was noticed by a stranger
4. DThe last time the patient was seen without stroke symptoms

Which drug is used to reverse the effect of warfarin?

1. AVitamin K
2. BNaloxone
3. CFlumazenil
4. DProtamine sulfate

In nursing management, what is an “assignment”?

1. AGiving staff care activities that are within their own role and scope
2. BAsking a colleague to do a task outside their usual scope
3. CHanding legal accountability for a patient over to a nursing colleague
4. DA written order from a prescriber for a treatment

A patient is receiving opioids after surgery. Which finding usually comes before opioid-induced respiratory depression?

1. AA sudden rise in pain scores
2. BIncreased appetite and thirst
3. CIncreasing sleepiness that is hard to rouse
4. DA rise in blood pressure with flushed cheeks

An older patient with dementia is restless at night and keeps trying to get out of bed. Which measure should the nurse try first?

1. ACheck for pain, thirst or a full bladder, and offer toileting
2. BRaise all four bed rails so the patient cannot climb out
3. CGive a sedative from the as-needed list without first assessing the patient
4. DApply wrist restraints for the rest of the night

A patient with diabetes is unresponsive and has a blood glucose of 40 mg/dL (2.2 mmol/L). What should the nurse do first?

1. APour orange juice into the patient’s mouth
2. BGive IV dextrose or glucagon as prescribed
3. CGive the scheduled dose of insulin
4. DWait 15 minutes and recheck the glucose

Two days after starting haloperidol, a patient suddenly develops painful neck twisting and the eyes roll upwards. What should the nurse anticipate?

1. ANo action, because the spasm is a sign of improvement
2. BPhysical restraint until the spasm passes
3. CAn anticholinergic drug, such as benztropine or procyclidine, as prescribed
4. DA higher dose of haloperidol to calm the patient and stop the movements quickly

A provider asks a nurse to perform a procedure that is outside the nurse’s scope of practice. What should the nurse do?

1. ADo it just this once and promise the provider not to do it again
2. BDo it, because the provider gave the instruction
3. CAsk a nursing assistant to do it instead
4. DDecline, explain why and suggest who can safely do it