Cevaplı Önceliklendirme ve yetki devri çalışma kâğıdı

Which resting heart rate is normal for a newborn?

1. A210/min
2. B140/min
3. C80/min
4. D60/min

Which patient usually fits ESI level 5?

1. AAn adult in cardiac arrest
2. BAn adult with chest pain suggesting a heart attack
3. CA stable adult who needs blood tests and an X-ray of the chest
4. DA stable adult who only needs a repeat prescription

Hemşire hangi yetişkin bulgusuna önce müdahale etmelidir?

1. AKan basıncı 138/88 mmHg ve tamamen uyanık
2. BVücut sıcaklığı 37,8 °C (100 °F)
3. CSolunum sayısı 8/dk ve uykulu
4. DKalp hızı 98/dk

A patient’s urinary catheter has drained no urine for two hours, and the lower abdomen is swollen. What should the nurse do first?

1. AGive a prescribed diuretic straight away
2. BEncourage the patient to drink more water
3. CRemove the catheter and wait for the patient to void
4. DCheck the tubing for kinks or obstruction

Which patient is most suitable for the nurse to assign to a nurse who has just finished orientation?

1. AA patient with stable cellulitis on scheduled IV antibiotics
2. BA patient with sepsis whose blood pressure is falling
3. CA patient on a continuous heparin infusion with rising aPTT values
4. DA patient with a new tracheostomy who needs frequent suctioning

Which medication order should the nurse question?

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

A patient takes lithium. Which statement shows a need for further teaching?

1. A“I will go for my blood tests as planned.”
2. B“I will keep my daily salt intake about the same as usual.”
3. C“I will take ibuprofen every day for my headaches.”
4. D“I will drink enough fluid every day.”

A nursing assistant has twice not reported abnormal vital signs to the RN. What is the RN’s best action?

1. ATalk to the assistant privately, restate what must be reported and follow up closely
2. BSay nothing to the assistant and quietly recheck all of the assistant’s vital signs in secret
3. CComplain about the assistant to the patients during care
4. DStop delegating any tasks to the assistant for the rest of the year