Приоритизация и делегирование: лист заданий с ответами

Какую задачу можно делегировать нелицензированному вспомогательному персоналу?

1. AРешение о том, сообщать ли врачу о находке
2. BИзмерение и запись диуреза пациента
3. CОценку пролежня
4. DОбучение пациента диете с низким содержанием натрия

Что означает «правильные обстоятельства» при делегировании?

1. AОбстановка и состояние пациента делают делегирование безопасным
2. BМедсестра проверяет результат после выполнения задачи
3. CЗадача чётко указана в письменной должностной инструкции исполнителя
4. DМедсестра даёт исполнителю чёткие, конкретные указания

Which serum sodium value is within the normal adult range?

1. A128 mEq/L (128 mmol/L)
2. B152 mEq/L (152 mmol/L)
3. C140 mEq/L (140 mmol/L)
4. D120 mEq/L (120 mmol/L)

Before giving a medication to a child, which check is especially important?

1. AThat the medicine cup is the child’s favorite color
2. BThat the child likes the taste of the drug
3. CThat the parent agrees with the time it is given
4. DThat the dose is correct for the child’s weight

Which practice makes a shift handover safest?

1. AHanding over only the patients who had problems during the shift
2. BA quick chat in the corridor with no notes taken
3. CA structured format, such as SBAR, with time for questions
4. DLeaving a sticky note on the computer screen for the next nurse

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

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

Six hours after surgery, a patient has not passed urine, feels the urge to go and has a firm swelling above the pubic bone. What is the most likely problem?

1. AUrinary retention
2. BA normal effect of the anesthetic
3. CAcute kidney injury with no urine made
4. DDehydration from fasting before surgery

During a power cut, which patient is the nurse’s first priority?

1. AA patient whose bed will not raise electrically
2. BA patient who depends on a ventilator
3. CA patient watching television when it switched off
4. DA patient whose call light is not working