Приоритизация и делегирование: лист заданий с ответами

Which finding should a nursing assistant report to the nurse at once?

1. AA patient whose weight is unchanged from yesterday
2. BA patient who would like tea instead of coffee
3. CA patient who wants to shower in the evening
4. DA pulse of 42/min in a patient whose usual pulse is 76/min

Once a nursing assistant has accepted a delegated task, who is responsible for doing it correctly?

1. AThe patient receiving the care
2. BThe assistant who accepted the task
3. COnly the nurse manager
4. DNobody, once the task has been delegated

В системе ABC, какая проблема относится к кровообращению?

1. AЧастота дыхания 32/мин
2. BТревога
3. CНеконтролируемое кровотечение
4. DСтридор

An older adult asks for something to help them sleep. Which drug is most likely to cause confusion and falls in this age group?

1. ADiphenhydramine
2. BMelatonin
3. CA warm milky drink
4. DAcetaminophen (paracetamol)

A patient with a spinal cord injury at T4 suddenly has a severe headache, flushing above the injury and a blood pressure of 200/110 mmHg. What does the nurse do first?

1. ALay the patient flat with the legs raised
2. BSit the patient upright with the legs lowered
3. CApply extra blankets to keep the patient warm and calm
4. DGive a warm drink and recheck the blood pressure in an hour

A patient receiving an aminoglycoside antibiotic, such as gentamicin, reports ringing in the ears. What should the nurse do?

1. AReassure the patient that it is a normal effect
2. BAdvise the patient to use ear drops
3. CHold the next dose and report it promptly
4. DGive the next dose early to finish the course

A patient with severe sepsis starts oozing blood from IV sites and the gums, and bruises appear on the skin. What should the nurse suspect?

1. ADisseminated intravascular coagulation (DIC)
2. BNormal bruising from blood tests
3. CVitamin C deficiency
4. DAn allergic reaction to the adhesive tape

A patient who is 7 weeks pregnant has one-sided lower abdominal pain, pain in the shoulder tip, a heart rate of 120/min and a blood pressure of 88/54 mmHg. What is most likely?

1. AA normal early pregnancy
2. BA urinary tract infection
3. CA ruptured ectopic pregnancy
4. DSevere morning sickness