Cevaplı Önceliklendirme ve yetki devri çalışma kâğıdı

Which finding is one of the quick SOFA (qSOFA) criteria for possible sepsis?

1. AHeart rate below 60/min
2. BBlood glucose above 100 mg/dL
3. CTemperature below 36,5 °C on one reading
4. DRespiratory rate of 22/min or more

What is the main purpose of a rapid response team?

1. ATo transport stable patients between hospital units
2. BTo review medication errors and falls after they have happened on the unit
3. CTo handle complaints from patients and families
4. DTo assess and treat a deteriorating patient before an arrest happens

After chemotherapy, a patient has a very low neutrophil count. Which risk is the nursing priority?

1. ADehydration
2. BBleeding
3. CInfection
4. DHypertension

Two nursing assistants argue loudly at the station about their assignments. What is the charge nurse’s best first step?

1. AMeet both of them privately to hear each side
2. BChange both of their assignments without any discussion
3. CReport them to human resources at once
4. DIgnore it and hope they sort it out

A patient’s peripheral IV site is swollen, pale and cool, and the infusion has slowed. What should the nurse do first?

1. AStop the infusion and remove the cannula
2. BApply a tight bandage over the site to reduce swelling
3. CIncrease the infusion rate to overcome the resistance
4. DFlush the cannula hard to clear the blockage

Which medication order should the nurse question?

1. APotassium chloride diluted in an IV bag via a pump
2. BPotassium chloride oral solution diluted in juice
3. CPotassium chloride by IV push
4. DOral potassium chloride with food

A patient taking an SSRI is also given tramadol. A few hours later the patient is agitated, sweating and has a fever, jerking muscles and brisk reflexes. What is the most likely cause?

1. AOpioid withdrawal
2. BAn anxiety attack
3. CSerotonin syndrome
4. DNeuroleptic malignant syndrome

A patient in hypovolemic shock is receiving IV fluids. Which finding best shows that the treatment is working?

1. AA heart rate that keeps rising after each bag of fluid
2. BCooler, paler skin on the arms and legs
3. CNew crackles at both lung bases
4. DUrine output at least 0,5 mL/kg/h and clearer thinking