Cevaplı Önceliklendirme ve yetki devri çalışma kâğıdı

In the Emergency Severity Index (ESI), which patient fits level 2?

1. AA stable patient who needs one resource
2. BA patient who needs an immediate life-saving intervention to survive
3. CA stable patient who needs no resources
4. DA high-risk situation, new confusion, or severe pain or distress

Which white blood cell count suggests an infection or inflammation?

1. A18,000/mm³ (18 × 10⁹/L)
2. B8,200/mm³ (8,2 × 10⁹/L)
3. C6,500/mm³ (6,5 × 10⁹/L)
4. D7,000/mm³ (7 × 10⁹/L)

What is the CIWA scale used to assess?

1. AThe risk of a pressure injury
2. BThe depth of a burn wound
3. CThe severity of alcohol withdrawal
4. DThe severity of a newborn’s jaundice

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

1. ARelieve pressure on the area by changing position regularly
2. BMassage the area firmly to improve the blood flow to the skin
3. CApply a heat pad to the area to increase circulation
4. DKeep the patient lying on the back to protect the area

Bir hastada ani burun kanaması var, uyanık ve normal soluyor. Hemşire önce ne yapar?

1. AHastayı oturtur, öne eğer ve burnun yumuşak kısmını sıkar
2. BPıhtıları temizlemek için hastadan burnunu sert üflemesini ister
3. CBaşı geriye yatırır ve ense arkasına buz uygular
4. DHastayı dizlerinin altında yastıkla sırtüstü düz yatırır

A patient has heart failure. Which instruction about daily weights is best to give the nursing assistant?

1. A“Only weigh him if his ankles look more swollen than they did yesterday afternoon.”
2. B“Weigh him at any time today, on whichever scale is free.”
3. C“Weigh him after lunch, fully dressed, with his shoes on.”
4. D“Weigh him each morning before breakfast, on the same scale, and tell me the result.”

Four stable patients need routine morning care. To reduce the spread of infection, which patient should the nurse visit first?

1. AA patient with neutropenia after chemotherapy
2. BA patient with influenza on droplet precautions
3. CA patient with an MRSA wound infection
4. DA patient with C. difficile diarrhea

A patient suddenly has severe pain in one leg. The leg is pale and cold with no pedal pulse. What does this suggest?

1. AAcute arterial occlusion, which is an emergency
2. BChronic venous insufficiency that needs elevation
3. CA deep vein thrombosis that can be treated next week
4. DA muscle cramp that will pass with stretching