Приоритизация и делегирование: лист заданий с ответами

What is a transient ischemic attack (TIA)?

1. ABrief stroke-like symptoms that resolve, warning of a possible stroke
2. BA type of migraine with no link to stroke
3. CA stroke that leaves permanent weakness or paralysis on one side of the body
4. DA heart attack that affects the brain

Why may a full-thickness burn feel painless at its center?

1. AThe nerve endings in the skin have been destroyed
2. BThe burn has already fully healed
3. CThe patient has been given too much fluid
4. DThe burn only affects the thin surface layer of the skin

In a three-level triage system, what does “urgent” mean?

1. AMinor, and can safely wait for several hours
2. BSerious but stable for now, and needs care soon
3. CAlready deceased on arrival
4. DLife-threatening and needs care immediately

Which two patients can most safely share a room?

1. ATwo patients who both have C. difficile infection
2. BA patient with chickenpox and a patient on chemotherapy
3. CA patient with influenza and a patient with COPD
4. DA patient with MRSA in a wound and a patient after surgery

A patient uses patient-controlled analgesia (PCA) after surgery. Which statement by a family member shows a need for further teaching?

1. A“I will press the button for her while she is asleep so she stays comfortable.”
2. B“Only she should press the button when she needs pain relief.”
3. C“I will tell the nurse if she becomes very sleepy or hard to wake.”
4. D“The pump has limits set by the nurse so she cannot get too much at once.”

Во время внутривенной инфузии антибиотика у пациента появились крапивница, свистящее дыхание и охриплый голос. Что медсестра делает первым?

1. AДокументирует реакцию в карте
2. BДаёт дифенгидрамин внутрь
3. CОстанавливает инфузию
4. DЗамедляет инфузию вдвое

After the RN taught a patient to inject insulin, an LPN/LVN reports that the patient still cannot draw up the dose correctly. What should happen next?

1. AThe patient is discharged with a leaflet to read at home
2. BThe nursing assistant shows the patient again at lunch
3. CThe RN reassesses the patient’s learning needs and adjusts the teaching
4. DThe LPN/LVN writes a new teaching plan and evaluates it at the end of the shift

В команду входят RN, LPN/LVN и помощник медсестры. Какое распределение наиболее уместно?

1. AПомощник: пероральные лекарства; LPN/LVN: планы ухода; RN: гигиенический уход за стабильными пациентами
2. BLPN/LVN: все первичные оценки; RN: плановые лекарства; помощник: обучение при выписке
3. CRN: новое поступление; LPN/LVN: лекарства для стабильных пациентов; помощник: гигиена
4. DПомощник: новое поступление; LPN/LVN: гигиенический уход; RN: рутинные жизненные показатели у стабильных пациентов