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

What is status epilepticus?

1. AA single short seizure that stops on its own within a minute or two
2. BA seizure lasting 5 minutes or more, or repeated seizures without recovery
3. CA faint caused by standing up too quickly
4. DA seizure that happens only during sleep

In Maslow’s hierarchy of needs, which level sits at the top?

1. ASafety and security
2. BSelf-actualization
3. CEsteem
4. DLove and belonging

A nurse gives IV morphine for severe pain. When should the nurse reassess the pain and sedation?

1. AWithin about 15–30 minutes
2. BAt the next routine round in four hours
3. COnly when the patient asks for more
4. DAt the end of the shift

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

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. ARemove the catheter and wait for the patient to void
2. BGive a prescribed diuretic straight away
3. CEncourage the patient to drink more water
4. DCheck the tubing for kinks or obstruction

A patient with a head injury has a pupil on one side that is now large and does not react to light. What should the nurse do?

1. ARecheck it at the next routine observation in four hours
2. BDim the room lights so the pupil can get smaller
3. CReport it at once, as it may mean the brain is being compressed
4. DDocument it, because pupils often differ slightly after a head injury

Một người bệnh được cứu khỏi đám cháy nhà có bỏng mặt, lông mũi bị cháy xém và giọng khàn. Ưu tiên là gì?

1. ABắt đầu hồi sức dịch tĩnh mạch tính theo diện tích bỏng
2. BBảo vệ đường thở, chuẩn bị hỗ trợ đường thở sớm
3. CCho thuốc giảm đau
4. DLàm sạch và băng các vết bỏng ở mặt