Cevaplı Önceliklendirme ve yetki devri çalışma kâğıdı

Which body temperature is a fever in an adult?

1. A38,5 °C
2. B37,1 °C
3. C36,4 °C
4. D36,8 °C

A patient has a Glasgow Coma Scale score of 8. What is the main concern?

1. AThe patient can safely eat and drink without help
2. BThe patient may not be able to protect the airway
3. CThe patient only has a mild headache
4. DThe patient is fully alert and oriented

When is a patient most ready to learn about self-care?

1. AWhen pain is controlled and basic physical needs are met
2. BWhile in severe pain, so the lesson feels important
3. CStraight after hearing bad news about a serious new diagnosis
4. DDuring a period of acute breathlessness

A patient has a blood pressure of 210/120 mmHg. Which finding would make this a hypertensive emergency?

1. AA history of high blood pressure for ten years
2. BNew chest pain or confusion suggesting organ damage
3. CForgetting to take the blood pressure tablet this morning
4. DMild anxiety about the high reading on the monitor

On day 3 after hip surgery, a patient suddenly becomes short of breath with sharp chest pain and an SpO₂ of 88%. What should the nurse do first?

1. AMassage the patient’s calves to ease any muscle cramp
2. BRaise the head of the bed, give oxygen and call for urgent help
3. CEncourage the patient to walk to improve the circulation
4. DGive the next dose of oral analgesia and reassess the patient in an hour

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

1. Aİlacın hasta broşüründe listelenen yan etkileri açıklamalıdır
2. BYan etkilerin nadir olduğunu söyleyerek hastayı rahatlatmalıdır
3. Cİlacı internette aramalı ve yazanı okumalıdır
4. DHemşirenin gelip yanıtlayacağını söylemeli ve hemşireye bildirmelidir

Sürekli mesane irrigasyonlu transüretral prostat rezeksiyonundan sonra hangi hasta bulgusu beklenmedik ve müdahale gerektiriyor?

1. AGün içinde berraklaşan açık pembe idrar
2. BSonda olmasına rağmen idrara çıkma ihtiyacı hissetmek
3. CReçete edilen antispazmodik ilaçla hafifleyen hafif mesane spazmları
4. DPıhtılı parlak kırmızı idrar ve sondadan azalmış akış

An infant is choking and cannot cry or breathe. Which technique is correct?

1. ABack blows and chest thrusts
2. BAbdominal thrusts, as in adults
3. CA blind finger sweep of the mouth
4. DHolding the infant upside down by the feet