Cevaplı Önceliklendirme ve yetki devri çalışma kâğıdı

In stroke care, what does the “last known well” time mean?

1. AThe time of the patient’s last meal
2. BThe time the first symptom was noticed by a stranger
3. CThe last time the patient was seen without stroke symptoms
4. DThe time the patient arrived at the hospital and was triaged

Which term describes a patient who is unable to understand and decide about their own care?

1. AExercising autonomy
2. BFully competent
3. CProviding valid informed consent
4. DLacking decision-making capacity

Görev devrinde “doğru kişi” ne anlama gelir?

1. AHasta, devralan kişiden bakım almayı kabul etmiştir
2. BDevralan kişi en az meşgul olan personeldir
3. CGörevi devralan kişi eğitimli, yetkin ve görevi yapmasına izin verilmiş biridir
4. DDevralan kişi o vardiyada görevdeki en kıdemli yardımcıdır

Which patient on an addiction unit should the nurse see first?

1. ALast drink this morning; asking when lunch will arrive
2. BIn recovery for a year; came to the clinic today for a routine check and a repeat prescription
3. CLast drink two days ago; now shaking, sweating, heart rate 124/min and seeing insects
4. DLast drink one week ago; asking about support groups

When making patient assignments, what should the charge nurse consider first?

1. AGiving each nurse patients in rooms next to each other
2. BLetting staff choose the patients they prefer
3. CMatching each patient’s needs to staff competence
4. DGiving the newest staff the most complex patients

A nurse teaches a patient with heart failure. Which statement shows a need for further teaching?

1. A“I will weigh myself every morning after I use the toilet.”
2. B“I will take my water tablet in the morning.”
3. C“I will call if my weight goes up quickly over a day or two.”
4. D“I add extra salt to my food so it tastes better.”

Two hours after a femoral cardiac catheterization, the nurse sees blood spreading from the puncture site. What is the first action?

1. AApply firm, direct pressure just above the puncture site
2. BRaise the head of the bed so the patient can sit up
3. CRemove the dressing and leave the site open to the air
4. DAsk the patient to bend the leg at the hip to stop the bleeding

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. AA normal effect of the anesthetic
2. BAcute kidney injury with no urine made
3. CDehydration from fasting before surgery
4. DUrinary retention