Cevaplı Önceliklendirme ve yetki devri çalışma kâğıdı

Görev devrinde “doğru gözetim ve değerlendirme” ne anlama gelir?

1. AHemşire devredilen her görevi her saniye izler
2. BHemşire takip eder, gerekirse müdahale eder ve sonucu kontrol eder
3. CDevralan kişi daha sonra kendi işini kontrol edip onaylar
4. DSorumlu hemşire vardiya sonunda devredilen tüm görevleri onaylar

What should the nurse try before using physical restraints on a confused patient?

1. AAsking the family to bring restraints from home
2. BUsing restraints at once and removing them later if they turn out not to be needed
3. CLess restrictive measures, such as more frequent checks or a bed alarm
4. DRestraining all four limbs to be fully safe

Çoğu ortamda acil servise yeni gelenlerin triyajını kim yapar?

1. ABir kayıtlı hemşire
2. BBir servis sekreteri
3. CRN katılımı olmadan bir LPN/LVN
4. DBir hemşire yardımcısı

A patient is booked for a CT scan with iodinated contrast. Which of the patient’s medications may need to be held according to protocol?

1. AAcetaminophen (paracetamol)
2. BOmeprazole
3. CMetformin
4. DLevothyroxine

A patient on a continuous IV heparin infusion has new black, tarry stools and an aPTT well above the target range. What should the nurse do first?

1. AStop the heparin infusion and inform the provider
2. BCheck the pump rate and leave the infusion running
3. COffer an iron-rich meal to replace the lost blood
4. DGive a dose of vitamin K by mouth

A patient with asthma has two inhalers: a corticosteroid and salbutamol (albuterol). Which statement shows a need for further teaching?

1. A“I will rinse my mouth after using the steroid inhaler.”
2. B“I will carry my salbutamol inhaler with me.”
3. C“I will use my steroid inhaler every day, even when I feel well.”
4. D“I will use my steroid inhaler when I have a sudden attack.”

During a power cut, which patient is the nurse’s first priority?

1. AA patient whose bed will not raise electrically
2. BA patient watching television when it switched off
3. CA patient who depends on a ventilator
4. DA patient whose call light is not working

A 2-month-old infant has a spiral fracture of the femur. The parents say the baby rolled off the sofa. What should the nurse recognize?

1. AA spiral fracture in an infant is always caused by birth trauma
2. BInfants of this age often roll off furniture and break bones in this way
3. CNo further action is needed once the fracture is treated
4. DThe injury does not fit the infant’s development, so possible abuse must be reported