Cevaplı Önceliklendirme ve yetki devri çalışma kâğıdı

Which finding is expected in a patient with long-standing COPD?

1. AAn SpO₂ of 78%
2. BA barrel-shaped chest
3. CNew confusion
4. DSudden sharp chest pain

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 the first symptom was noticed by a stranger
3. CThe time of the patient’s last meal
4. DThe last time the patient was seen without stroke symptoms

Which body temperature is a fever in an adult?

1. A36,8 °C
2. B37,1 °C
3. C36,4 °C
4. D38,5 °C

A patient has a reddened area on the sacrum that does not blanch when pressed. What is the priority action?

1. AApply a heat pad to the area to increase circulation
2. BKeep the patient lying on the back to protect the area
3. CRelieve pressure on the area by changing position regularly
4. DMassage the area firmly to improve the blood flow to the skin

Bir hasta hemşire yardımcısına yeni bir ilacın yan etkilerini soruyor. Yardımcı ne yapmalıdır?

1. AYan etkilerin nadir olduğunu söyleyerek hastayı rahatlatmalıdır
2. Bİlacın hasta broşüründe listelenen yan etkileri açıklamalıdır
3. CHemşirenin gelip yanıtlayacağını söylemeli ve hemşireye bildirmelidir
4. Dİlacı internette aramalı ve yazanı okumalıdır

A patient receiving chemotherapy has a temperature of 38,3 °C and a very low neutrophil count. What should the nurse do?

1. AGive a cool shower and offer extra fluids, then wait and see what happens
2. BRecheck the temperature in four hours before telling anyone
3. CDocument the reading and mention it at the next handover
4. DReport it at once, because cultures and antibiotics are needed quickly

Six hours after surgery, a patient has not passed urine, feels the urge to go and has a firm swelling above the pubic bone. What is the most likely problem?

1. ADehydration from fasting before surgery
2. BAcute kidney injury with no urine made
3. CUrinary retention
4. DA normal effect of the anesthetic

Four laboratory results come back at once. Which one should the nurse report first?

1. AHemoglobin 6,5 g/dL (65 g/L) in a patient with a GI bleed
2. BCreatinine 1,3 mg/dL in an older adult, unchanged from last week
3. CPotassium 3,4 mEq/L in a patient on a diuretic
4. DGlucose 180 mg/dL after a meal in a patient with diabetes