Приоритизация и делегирование: лист заданий с ответами

A patient’s respiratory rate is 30/min at rest. How should the nurse classify this finding in an adult?

1. ASlow, and expected while the patient is asleep
2. BWithin the normal adult range
3. CAbnormally fast and needing assessment
4. DNormal after a meal

After chemotherapy, a patient has a very low neutrophil count. Which risk is the nursing priority?

1. AInfection
2. BHypertension
3. CDehydration
4. DBleeding

What is the main purpose of an incident report?

1. ATo inform the patient’s insurance company
2. BTo decide which staff member should be punished
3. CTo replace the nurse’s notes in the patient’s record
4. DTo improve safety by finding out why events happen

При триаже START неходячий взрослый дышит 36 раз в минуту. В какую категорию он попадает?

1. AЧёрная (безнадёжные)
2. BКрасная (немедленная помощь)
3. CЖёлтая (отсроченная помощь)
4. DЗелёная (лёгкие)

A nurse teaches a patient who has started warfarin. Which statement shows a need for further teaching?

1. A“I will tell my dentist and pharmacist that I take warfarin.”
2. B“I will use a soft toothbrush.”
3. C“I will keep my INR blood test appointments.”
4. D“If I miss a dose, I will take two the next day.”

A patient is receiving a blood transfusion. Which task can the nurse delegate to a nursing assistant?

1. AAssessing the patient for signs of a transfusion reaction
2. BDeciding whether to stop the transfusion if the patient has chills
3. CStarting the transfusion once the blood arrives
4. DMeasuring and reporting vital signs at the times set by the nurse

A patient suddenly has severe pain in one leg. The leg is pale and cold with no pedal pulse. What does this suggest?

1. AA deep vein thrombosis that can be treated next week
2. BAcute arterial occlusion, which is an emergency
3. CChronic venous insufficiency that needs elevation
4. DA muscle cramp that will pass with stretching

Two patients on the unit have the same surname. What should the nurse do before giving a medication?

1. AAsk the patient, “Are you Mr Smith?” and give the drug once he says yes
2. BCheck two identifiers against the wristband and the medication record
3. CAsk a nursing assistant which patient is which
4. DUse the room number as the main identifier