Cevaplı Önceliklendirme ve yetki devri çalışma kâğıdı

Ücretsiz yazdırılabilir Önceliklendirme ve yetki devri çalışma kâğıdı: kolaydan sınav düzeyine 8 soru ve cevap anahtarı. Yazdırın ya da PDF olarak kaydedin.

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Ad: ____________________   Tarih: ____________

1.Kolay

Which capillary refill time is prolonged in an adult?

  1. A2 seconds
  2. BLess than 1 second
  3. C4 seconds
  4. D1 second
2.Kolay

Which resting heart rate in an adult is bradycardia?

  1. A88/min
  2. B64/min
  3. C72/min
  4. D46/min
3.Kolay

Which patient is unstable?

  1. AA patient with a new irregular pulse who says they feel dizzy
  2. BA patient waiting for a planned hip X-ray
  3. CA patient with a healing leg wound and normal vital signs this morning
  4. DA patient with long-standing arthritis pain of 3/10
4.Orta

After a hip replacement, a patient has sudden severe hip pain, and the operated leg looks shorter and turned. What should the nurse suspect?

  1. AA urinary tract infection
  2. BA pressure injury on the heel
  3. CNormal pain after surgery
  4. DDislocation of the new hip
5.Orta

A nurse teaches a patient with COPD pursed-lip breathing. Which statement shows a need for further teaching?

  1. A“I will breathe in through my mouth and out quickly through my nose.”
  2. B“I will breathe in slowly through my nose.”
  3. C“I will make my breath out about twice as long as my breath in.”
  4. D“I will breathe out slowly through pursed lips.”
6.Orta

An anxious patient is breathing very fast and has tingling fingers. The blood gas shows pH 7,51 and PaCO₂ 29 mmHg (3,9 kPa). What should the nurse do first?

  1. AGive IV sodium bicarbonate as soon as it can be found
  2. BGive oxygen at the highest flow and leave the room
  3. CEncourage the patient to breathe even faster
  4. DStay with the patient and coach slow, calm breathing
7.Zor

A patient with severe sepsis starts oozing blood from IV sites and the gums, and bruises appear on the skin. What should the nurse suspect?

  1. AAn allergic reaction to the adhesive tape
  2. BVitamin C deficiency
  3. CNormal bruising from blood tests
  4. DDisseminated intravascular coagulation (DIC)
8.Zor

Which nursing approach may raise intracranial pressure in a patient with a head injury?

  1. ADoing suctioning, turning and bathing all at the same time
  2. BKeeping the head in line with the body
  3. CSpacing out care with rest periods in between activities
  4. DKeeping the room calm and quiet

Cevap anahtarı

  1. 1. C · 4 seconds
  2. 2. D · 46/min
  3. 3. A · A patient with a new irregular pulse who says they feel dizzy
  4. 4. D · Dislocation of the new hip
  5. 5. A · “I will breathe in through my mouth and out quickly through my nose.”
  6. 6. D · Stay with the patient and coach slow, calm breathing
  7. 7. D · Disseminated intravascular coagulation (DIC)
  8. 8. A · Doing suctioning, turning and bathing all at the same time

Tam adım adım çözümler: bu konuyu examproblems.com’da çalışın.