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

Which serum potassium result should the nurse report to the provider promptly?

1. A4,2 mEq/L (4,2 mmol/L)
2. B4,9 mEq/L (4,9 mmol/L)
3. C6,4 mEq/L (6,4 mmol/L)
4. D3,8 mEq/L (3,8 mmol/L)

What is status epilepticus?

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

Which symptoms suggest high blood glucose (hyperglycemia)?

1. AConfusion that improves quickly with juice
2. BSweating, shaking and a fast pulse
3. CSudden hunger with cold, clammy skin
4. DIncreased thirst and passing more urine

A nurse teaches a patient with COPD pursed-lip breathing. Which statement shows a need for further teaching?

1. A“I will breathe in slowly through my nose.”
2. B“I will make my breath out about twice as long as my breath in.”
3. C“I will breathe in through my mouth and out quickly through my nose.”
4. D“I will breathe out slowly through pursed lips.”

Một điều dưỡng trưởng ca cần giải phóng một giường. Người bệnh nào phù hợp nhất để xuất viện hoặc chuyển xuống mức chăm sóc thấp hơn?

1. ANhập viện hai giờ trước vì đau ngực; kết quả troponin còn chờ
2. BNgày 1 sau phẫu thuật ruột với sốt 38,5 °C mới xuất hiện
3. CViêm phổi, nhu cầu oxy tăng qua đêm từ 2 lên 4 L/phút
4. DNgày 3 sau cắt ruột thừa không biến chứng, đang ăn được, dùng thuốc giảm đau đường uống

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

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

Several patients on a unit develop diarrhea within two days. What should the nurse do first?

1. AMove the affected patients into shared rooms with other patients to free up beds
2. BPlace affected patients on contact precautions and inform infection control
3. CGive all patients antidiarrheal drugs without assessment
4. DWait to see if more patients become unwell

A patient has a new spinal cord injury at C4. Which assessment is the priority?

1. AAbility to feed themselves
2. BBreathing effort and ability to cough
3. CBowel sounds in all four abdominal quadrants
4. DSkin over the sacrum and heels