Phiếu bài tập Ưu tiên và ủy thác công việc có đáp án

Which finding should a nursing assistant report to the nurse at once?

1. AA patient whose weight is unchanged from yesterday
2. BA patient who would like tea instead of coffee
3. CA patient who wants to shower in the evening
4. DA pulse of 42/min in a patient whose usual pulse is 76/min

Why may a full-thickness burn feel painless at its center?

1. AThe nerve endings in the skin have been destroyed
2. BThe burn only affects the thin surface layer of the skin
3. CThe burn has already fully healed
4. DThe patient has been given too much fluid

Which finding in an infant is a sign of breathing difficulty?

1. AWet diapers every few hours
2. BNasal flaring
3. CPink, warm hands and feet
4. DA strong cry

A young adult has just started an SSRI antidepressant for major depression. What should the nurse monitor most closely in the first weeks?

1. AThoughts of suicide or self-harm
2. BRising blood glucose levels
3. CHair growth and skin color
4. DWeight loss from too much appetite

A patient with mild dysphagia after a stroke is eating. Which technique helps make swallowing safer?

1. ADrinking thin fluids quickly through a straw between bites
2. BTalking while eating to stay alert
3. CSitting upright with the chin tucked down while swallowing
4. DLying flat with the head tilted back

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

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

Một người bệnh có catheter tĩnh mạch trung tâm đột nhiên khó thở, đau ngực và SpO₂ tụt khi đang rút đường truyền. Điều dưỡng làm gì trước tiên?

1. AChe kín vị trí, xoay nằm nghiêng trái đầu thấp, cho thở oxy và gọi hỗ trợ
2. BBảo người bệnh hít thở sâu chậm và tiếp tục
3. CCho người bệnh ngồi thẳng và rút nhanh nốt đường truyền
4. DBơm rửa catheter bằng nước muối để thông tắc

A patient at 36 weeks of pregnancy has sudden severe abdominal pain, a hard, board-like uterus and dark vaginal bleeding. What should the nurse suspect?

1. APlacenta previa, which is usually painless
2. BPlacental abruption, which is an emergency
3. CNormal labor contractions starting
4. DA urinary tract infection