Cevaplı Önceliklendirme ve yetki devri çalışma kâğıdı

What is a transient ischemic attack (TIA)?

1. AA heart attack that affects the brain
2. BBrief stroke-like symptoms that resolve, warning of a possible stroke
3. CA stroke that leaves permanent weakness or paralysis on one side of the body
4. DA type of migraine with no link to stroke

Bir öncelik sorusu “ilk” olarak ne yapılacağını sorduğunda ne istemektedir?

1. ATümü doğru olsa bile diğerlerinden önce gelen adım
2. BTamamlanması en çok zaman alan eylem
3. CHemşirelerin tipik bir vardiyada en sık yaptığı eylem
4. DDoğru olan tek seçenek; diğerleri yanlıştır

Which statement belongs in the Background part of an SBAR report?

1. A“He was admitted three days ago with pneumonia and also has COPD.”
2. B“I would like you to see him within the next 15 minutes.”
3. C“I think he may be developing sepsis.”
4. D“I am calling about Mr Khan because his blood pressure has dropped.”

A nurse teaches a patient to use an incentive spirometer. Which statement shows a need for further teaching?

1. A“I will try to hold my breath for a few seconds at the top.”
2. B“I will breathe in slowly and deeply through the mouthpiece.”
3. C“I will blow into it as hard and fast as I can.”
4. D“I will use it several times every hour while awake.”

Hemşire bir hastayı yatağın yanında yerde buluyor. İlk eylem nedir?

1. AHastayı hareket ettirmeden önce yanıt verebilirliğini ve yaralanmaları değerlendirmek
2. BNe olduğunu açıklamak için hastanın ailesini aramak
3. CAyrıntılar taze iken olay raporunu doldurmak
4. DBir meslektaşın yardımıyla hastayı hemen yatağa geri yatırmak

A patient uses patient-controlled analgesia (PCA) after surgery. Which statement by a family member shows a need for further teaching?

1. A“I will tell the nurse if she becomes very sleepy or hard to wake.”
2. B“I will press the button for her while she is asleep so she stays comfortable.”
3. C“The pump has limits set by the nurse so she cannot get too much at once.”
4. D“Only she should press the button when she needs pain relief.”

A patient has a potassium of 7,0 mEq/L with peaked T waves. Several drugs are prescribed. Which one is usually given first to protect the heart?

1. AIV calcium gluconate
2. BOral potassium binder
3. COral sodium bicarbonate
4. DIV furosemide

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

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