Приоритизация и делегирование: лист заданий с ответами

A patient’s urine output is 15 mL/h for three hours. How should the nurse classify this in an adult?

1. AHigh, suggesting fluid overload
2. BLow and needing to be reported
3. CExpected after drinking fluids
4. DNormal for an adult at rest

Using the RACE fire response, what does the nurse do first when finding a fire in a patient’s room?

1. APull the fire alarm
2. BRescue patients in immediate danger
3. CUse an extinguisher on the fire
4. DClose doors to contain the fire and smoke

In most settings, which task is kept for the RN rather than assigned to an LPN/LVN?

1. AMeasuring vital signs
2. BGiving scheduled oral medications
3. CReinforcing teaching already given
4. DGiving an IV push medication

A patient’s chest tube becomes disconnected from the drainage system. What should the nurse do first?

1. APlace the end of the tube in a bottle of sterile water
2. BRemove the tube and cover the site
3. CClamp the tube for the rest of the shift
4. DWait for the provider to arrive before doing anything else

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

1. A“My husband can smoke in my room if the window is open.”
2. B“I will keep the oxygen away from the gas stove.”
3. C“I will not use oil-based creams on my face.”
4. D“I will put up no-smoking signs at the front door and in my room.”

A parent of a child with influenza talks with the nurse. Which statement shows a need for further teaching?

1. A“I will call if my child has trouble breathing.”
2. B“I will keep my child home from school and away from others while unwell.”
3. C“I will give my child aspirin to bring the fever down.”
4. D“I will give my child plenty of fluids.”

A day after a femur fracture, a young patient becomes confused and breathless, with small red spots on the chest. What should the nurse suspect?

1. AAlcohol withdrawal
2. BFat embolism syndrome
3. CAn allergic reaction to the cast
4. DNormal pain after a fracture

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