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

Which finding meets the usual definition of orthostatic hypotension?

1. ASystolic pressure falls by 20 mmHg or more within 3 minutes of standing
2. BHeart rate falls by 5/min after lying down
3. CBlood pressure is the same lying and standing
4. DSystolic pressure rises by 20 mmHg or more within 3 minutes of standing up

Which task is appropriate to delegate to a nursing assistant for an immobile but stable patient?

1. ADeciding whether a pressure injury has got worse since yesterday
2. BPlanning the patient’s skin care
3. CTurning and repositioning the patient every 2 hours
4. DChoosing which wound dressing to use

Which serum sodium value is within the normal adult range?

1. A120 mEq/L (120 mmol/L)
2. B152 mEq/L (152 mmol/L)
3. C128 mEq/L (128 mmol/L)
4. D140 mEq/L (140 mmol/L)

A nurse teaches foot care to a patient with diabetes. Which statement shows a need for further teaching?

1. A“I will wear shoes that fit well, even at home.”
2. B“I will check the soles of my feet every day with a mirror.”
3. C“I will dry well between my toes after washing.”
4. D“I will soak my feet in hot water every evening.”

An older patient who has been constipated for days now has small amounts of liquid stool leaking. What should the nurse suspect?

1. AThe constipation has fully resolved
2. BFecal impaction with liquid stool passing around it
3. CA new bowel infection that has caused the diarrhea
4. DA side effect of drinking too much water

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 toddler with tetralogy of Fallot becomes very blue and breathless while crying. What should the nurse do first?

1. ALay the child flat on their back
2. BGive a large drink of water to calm the child
3. CPlace the child in a knee-to-chest position
4. DEncourage the child to keep crying to open the lungs

Một người bệnh đang nhận dinh dưỡng tĩnh mạch qua đường trung tâm. Phát hiện nào cần hành động ngay?

1. AĐường huyết 150 mg/dL (8,3 mmol/L) khi dịch truyền đang chạy
2. BĐổ mồ hôi, run và đường huyết 62 mg/dL (3,4 mmol/L) sau khi dịch truyền bất ngờ ngừng
3. CTăng cân 0,2 kg từ hôm qua
4. DBăng khô, nguyên vẹn trên đường truyền