Приоритизация и делегирование: лист заданий с ответами

Что из перечисленного является физиологической потребностью по Маслоу?

1. AВыделение мочи и кала
2. BУважение со стороны других
3. CЧувство безопасности дома
4. DЧувство принадлежности к семье

Which fasting blood glucose value is normal for an adult without diabetes?

1. A85 mg/dL (4,7 mmol/L)
2. B55 mg/dL (3,1 mmol/L)
3. C145 mg/dL (8,0 mmol/L)
4. D210 mg/dL (11,7 mmol/L)

What are Kussmaul respirations?

1. ANoisy, high-pitched breathing caused by a blocked upper airway
2. BDeep, rapid breathing seen in metabolic acidosis such as DKA
3. CSlow, shallow breathing after an opioid overdose
4. DShort pauses in breathing during normal sleep

A swimmer is found unresponsive after diving into shallow water. Which method should the nurse use to open the airway?

1. AJaw thrust, keeping the head and neck in line
2. BRaising the chin while bending the neck forward
3. CHead-tilt, chin-lift with full neck extension
4. DTurning the head to the side to drain water

A nurse teaches a patient who uses crutches. Which statement shows a need for further teaching?

1. A“I will lean on the crutch pads under my arms to rest.”
2. B“I will keep the crutch tips in good condition.”
3. C“I will take my weight on my hands, not on my armpits.”
4. D“I will remove loose rugs from the floor at home.”

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. BKeep the patient lying flat in bed to rest the incision fully
3. CRestrict oral fluids so that the lungs do not fill up with extra fluid
4. DEncourage deep breathing, coughing and use of the incentive spirometer

A victim heavily contaminated with an industrial chemical arrives at the emergency department with stable vital signs. What should happen first?

1. ADecontamination before the victim enters the treatment area
2. BPlacing the victim in the waiting room until a doctor is free
3. CTaking the victim straight to the X-ray department
4. DFull assessment inside the main department straight away

У пациента с центральным венозным катетером при удалении катетера внезапно появляются одышка, боль в груди и падающая SpO₂. Что медсестра делает первым?

1. AСажает пациента вертикально и быстро завершает удаление катетера
2. BПросит пациента делать медленные глубокие вдохи и продолжает
3. CПромывает катетер физраствором, чтобы устранить любую закупорку
4. DЗакрывает место введения, поворачивает на левый бок головой вниз, даёт кислород и зовёт на помощь