ใบงาน การจัดลำดับความสำคัญและการมอบหมายงาน พร้อมเฉลย

งานใดที่พยาบาลวิชาชีพควรทำเองแทนที่จะมอบหมายให้ผู้ช่วยที่ไม่มีใบอนุญาต?

1. Aการอาบน้ำผู้ป่วยที่อาการคงที่
2. Bการประเมินแรกรับของผู้ป่วยที่เพิ่งรับเข้าใหม่
3. Cการช่วยผู้ป่วยที่อาการคงที่เดินไปห้องน้ำและกลับ
4. Dการวัดและบันทึกปริมาณน้ำเข้าออก

Which patient is unstable?

1. AA patient with long-standing arthritis pain of 3/10
2. BA patient waiting for a planned hip X-ray
3. CA patient with a healing leg wound and normal vital signs this morning
4. DA patient with a new irregular pulse who says they feel dizzy

Which serum creatinine result suggests reduced kidney function in an adult?

1. A0.7 mg/dL (about 60 µmol/L)
2. B1.0 mg/dL (about 90 µmol/L)
3. C0.8 mg/dL (about 70 µmol/L)
4. D3.5 mg/dL (about 310 µmol/L)

A pregnant nurse is on the unit. Which patient should the charge nurse avoid assigning to her?

1. AA patient with type 2 diabetes who needs insulin teaching before discharge
2. BA patient with a sealed radioactive implant for cervical cancer
3. CA patient with a fractured wrist
4. DA patient after a hip replacement

Using the Emergency Severity Index, which level fits a 70-year-old with chest pressure that suggests a heart attack, but normal vital signs?

1. ALevel 1
2. BLevel 5
3. CLevel 2
4. DLevel 4

A conscious patient with hypoglycemia drank juice 15 minutes ago. The glucose is now 62 mg/dL (3.4 mmol/L). What should the nurse do next?

1. AGive the next scheduled dose of rapid-acting insulin with the meal
2. BWait another hour, because juice can take a long time to work
3. CGive another serving of fast-acting carbohydrate and recheck in 15 minutes
4. DRecord the result and recheck the glucose at the usual time before the evening meal

Which finding most suggests a tension pneumothorax rather than a simple pneumothorax?

1. ATrachea shifted away from the affected side, with low blood pressure
2. BSharp chest pain that is worse on deep breathing
3. CMild breathlessness with reduced breath sounds on one side of the chest only
4. DA small air leak seen on a routine chest X-ray

Using ESI, a stable adult with abdominal pain will need blood tests and a CT scan, but has a heart rate of 130/min. Which statement is correct?

1. AThe patient is level 5 because the pain is not severe
2. BThe patient is level 4 because the blood tests and the scan count as one resource
3. CThe nurse should consider level 2 because of the danger-zone vital sign
4. DVital signs never change the ESI level