Приоритизация и делегирование: лист заданий с ответами

In the ABC framework, which finding is mainly a breathing problem?

1. AStridor caused by a swollen throat
2. BA blood glucose of 60 mg/dL (3,3 mmol/L)
3. CHeart rate 150/min with a low blood pressure and cold skin
4. DShallow breaths with an SpO₂ of 85% on room air

What is a “near miss” in patient safety?

1. AAn error that was caught before it reached the patient
2. BAn error that reached the patient and caused serious harm
3. CA planned treatment that did not work
4. DA complaint from a visitor

При прочих равных, какая проблема обычно имеет приоритет?

1. AНовая острая проблема
2. BПроблема, на решение которой нужно меньше всего времени
3. CПроблема, которая больше всего волнует семью
4. DДавняя хроническая проблема, так как она затрагивает больше сторон жизни пациента

A patient taking clozapine reports a sore throat and fever. What is the priority action?

1. AIncrease the dose because the symptoms suggest a relapse
2. BOffer throat lozenges and continue the usual dose
3. CAdvise the patient to gargle with warm salt water and rest in bed
4. DHold the dose and report so the white cell count can be checked

After a hip replacement, a patient has sudden severe hip pain, and the operated leg looks shorter and turned. What should the nurse suspect?

1. AA urinary tract infection
2. BNormal pain after surgery
3. CA pressure injury on the heel
4. DDislocation of the new hip

A patient reports pain of 8/10. Before giving the prescribed as-needed analgesic, what does the nurse do first?

1. ATell the patient to wait until the next scheduled dose is due in two hours
2. BGive the strongest analgesic on the chart straight away
3. CAssess the location, character and onset of the pain and the vital signs
4. DAsk the nursing assistant to reposition the patient

У пожилого пациента с пневмонией новая спутанность. Какое действие идёт первым?

1. AДать назначенный седативный препарат по требованию
2. BСпросить семью, нормально ли это для пациента
3. CПроверить сатурацию кислородом и остальные жизненные показатели
4. DНаложить фиксацию на запястья, чтобы пациент не дёргал катетер

An infant with pyloric stenosis has repeated projectile vomiting. Which acid-base imbalance is most likely?

1. AMetabolic alkalosis
2. BRespiratory alkalosis
3. CRespiratory acidosis
4. DMetabolic acidosis