Приоритизация и делегирование: лист заданий с ответами

Which medication is the first-line treatment for anaphylaxis?

1. AOral paracetamol (acetaminophen)
2. BAn oral antihistamine
3. CIntramuscular epinephrine
4. DAn inhaled corticosteroid

Which drug reverses the anticoagulant effect of heparin?

1. AProtamine sulfate
2. BAtropine
3. CNaloxone
4. DVitamin K

Which adult blood glucose result needs treatment straight away?

1. A98 mg/dL (5,4 mmol/L) before breakfast
2. B130 mg/dL (7,2 mmol/L) two hours after a large lunch
3. C110 mg/dL (6,1 mmol/L) after a snack
4. D52 mg/dL (2,9 mmol/L) with sweating and shakiness

A patient with schizophrenia says voices are telling him to hurt his roommate. What is the priority?

1. ATell him the voices are not real and leave him alone
2. BIgnore the comment, because voices are part of his illness
3. CAsk the roommate to stay in the room with him and help calm him down
4. DKeep everyone safe and tell the team, as the risk of harm is high

During labor, the nurse sees the umbilical cord in the vagina after the membranes rupture. What is the first action?

1. ARelieve pressure on the cord by lifting the presenting part with a gloved hand
2. BWait for the next contraction before acting
3. CAsk the patient to walk around the room to bring the baby lower and speed up labor
4. DPush the cord back into the uterus

A patient coughs hard after abdominal surgery, and loops of bowel appear through the opened wound. What does the nurse do first?

1. APush the bowel gently back into the abdomen with a gloved hand
2. BHelp the patient walk to the toilet to relieve abdominal pressure
3. CLeave the wound uncovered so the surgeon can see it on arrival
4. DCover the wound with sterile dressings moistened with saline

Two call lights go on at the same time. One patient has pain of 7/10 after surgery. The other is a confused patient at high risk of falls who is climbing out of bed alone. Who does the nurse go to first?

1. AWhichever patient’s room is closer to the station
2. BThe patient whose call light went on first
3. CThe confused patient climbing out of bed
4. DThe patient in pain after surgery

У пациента с сердечной недостаточностью одышка и хрипы в обоих лёгких. Какой порядок действий верен?

1. AСначала дать плановые пероральные лекарства, затем посадить пациента
2. BСначала взвесить пациента, затем переоценить дыхание через четыре часа
3. CУложить пациента плашмя отдохнуть, затем начать внутривенные поддерживающие жидкости
4. DПосадить, дать кислород по назначению, затем позвонить врачу