Приоритизация и делегирование: лист заданий с ответами

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

1. AReinforcing teaching already given
2. BGiving an IV push medication
3. CGiving scheduled oral medications
4. DMeasuring vital signs

A medication error has just reached a patient. What is the nurse’s first action?

1. AComplete an incident report before doing anything else
2. BCorrect the entry on the medication record
3. CAssess the patient for any effects of the error
4. DTell the nurse manager at the end of the shift

What are Kussmaul respirations?

1. AShort pauses in breathing during normal sleep
2. BDeep, rapid breathing seen in metabolic acidosis such as DKA
3. CSlow, shallow breathing after an opioid overdose
4. DNoisy, high-pitched breathing caused by a blocked upper airway

Which postoperative patient should the nurse see first?

1. AAsking when the urinary catheter will be removed
2. BPain of 4/10 one hour after an oral analgesic
3. CWants help with washing her hair before her visitors arrive this afternoon
4. DDressing soaked with bright red blood and a heart rate rising to 118/min

A nurse has given rapid-acting insulin, and then learns that the patient’s meal tray will be 45 minutes late. What should the nurse do?

1. AAsk the patient to walk around the ward until the food arrives
2. BGet the patient some carbohydrate food now and check the glucose
3. CTell the patient to wait and do nothing until the tray comes
4. DGive a second, smaller dose of insulin when the meal tray finally arrives

Какого пациента медсестре следует осмотреть первым после передачи смены?

1. AПациента с новой гипсовой повязкой, который говорит, что стопа онемела, а пальцы холодные
2. BПациента, который хочет помощи принять душ до прихода посетителей
3. CПациента с остеоартритом, сообщающего об утренней скованности
4. DПациента на диуретике, выделившего 400 mL мочи с 08:00

Находка у какого пациента самая срочная?

1. AПациент, у которого результат числа тромбоцитов ещё ожидается
2. BПациент на варфарине с МНО 2,5, которому пора принять обычную вечернюю дозу
3. CПациент после операции на колене с небольшим синяком в месте инъекции
4. DПациент на инфузии гепарина с новой спутанностью и сильной головной болью

A patient is admitted with suspected meningococcal meningitis. Which precautions are needed until treatment has been given for long enough?

1. AAirborne precautions
2. BDroplet precautions
3. CContact precautions only
4. DStandard precautions only