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

Which symptoms suggest high blood glucose (hyperglycemia)?

1. AIncreased thirst and passing more urine
2. BSudden hunger with cold, clammy skin
3. CSweating, shaking and a fast pulse
4. DConfusion that improves quickly with juice

What does the Morse Fall Scale measure?

1. AA patient’s pain level
2. BA patient’s skin integrity
3. CA patient’s nutrition status
4. DA patient’s risk of falling

To which patients do standard precautions apply?

1. AOnly patients with a confirmed infection on a lab test
2. BOnly patients in intensive care
3. CAll patients, whether or not an infection is known
4. DOnly patients with an open wound

A nurse has called the rapid response team for a deteriorating patient. What should the nurse do while waiting for the team?

1. AGive a dose of every as-needed medication on the chart
2. BLeave the patient for a few minutes to find the relatives and explain what is happening
3. CGo to the station to finish documentation for other patients
4. DStay with the patient, give oxygen as prescribed and have recent vital signs ready

On the first day after abdominal surgery, a patient has a temperature of 37,9 °C and reduced breath sounds at the lung bases. Which nursing action is most helpful?

1. AGive a cough suppressant so that the incision is not strained
2. BRestrict oral fluids so that the lungs do not fill up with extra fluid
3. CKeep the patient lying flat in bed to rest the incision fully
4. DEncourage deep breathing, coughing and use of the incentive spirometer

A nurse has given rapid-acting insulin, and then learns that the patient’s meal tray will be 45 minutes late. What should the nurse do?

1. AAsk the patient to walk around the ward until the food arrives
2. BTell the patient to wait and do nothing until the tray comes
3. CGet the patient some carbohydrate food now and check the glucose
4. DGive a second, smaller dose of insulin when the meal tray finally arrives

An older patient has bruises of different ages and seems frightened when a relative visits. What is the nurse’s priority?

1. AAsk the relative directly in front of the patient whether they hit her
2. BTell the patient she must leave home and go to live somewhere else
3. CIgnore it, because older people bruise easily
4. DEnsure the patient’s safety, document the findings and report as required

An older adult with type 2 diabetes is confused and very dehydrated. The glucose is 900 mg/dL (50 mmol/L), and blood and urine show no significant ketones. What is the most likely problem?

1. AHyperosmolar hyperglycemic state
2. BStress-induced mild hyperglycemia
3. CDiabetic ketoacidosis
4. DHypoglycemia with rebound