Приоритизация и делегирование: лист заданий с ответами

Which patient is unstable?

1. AA patient with a healing leg wound and normal vital signs this morning
2. BA patient waiting for a planned hip X-ray
3. CA patient with long-standing arthritis pain of 3/10
4. DA patient with a new irregular pulse who says they feel dizzy

Who is responsible for developing the nursing plan of care?

1. AThe ward clerk
2. BThe LPN/LVN alone
3. CThe nursing assistant
4. DThe registered nurse

Which serum potassium result should the nurse report to the provider promptly?

1. A4,2 mEq/L (4,2 mmol/L)
2. B6,4 mEq/L (6,4 mmol/L)
3. C3,8 mEq/L (3,8 mmol/L)
4. D4,9 mEq/L (4,9 mmol/L)

A patient receives hemodialysis this morning. Which type of medication is often held before dialysis, as prescribed?

1. AEye drops for glaucoma
2. BTopical skin creams
3. CInhaled bronchodilators
4. DAntihypertensive drugs

A patient is raising his voice, pacing and clenching his fists. What should the nurse do first?

1. AStand very close to him and tell him firmly and loudly to sit down and be quiet
2. BApply physical restraints at once
3. CTurn away and ignore the behavior
4. DSpeak calmly, keep a safe distance and invite him to talk about what is wrong

A nurse has called the rapid response team for a deteriorating patient. What should the nurse do while waiting for the team?

1. ALeave the patient for a few minutes to find the relatives and explain what is happening
2. BGo to the station to finish documentation for other patients
3. CGive a dose of every as-needed medication on the chart
4. DStay with the patient, give oxygen as prescribed and have recent vital signs ready

At the end of a shift, the nurse’s relief has not arrived and the patients are acutely ill. What should the nurse do?

1. ALeave a written note at the station and go home
2. BLeave on time, because the shift has officially ended
3. CAsk a nursing assistant to watch the patients until someone comes
4. DStay and tell the charge nurse, and hand over before leaving

A patient takes lithium. Which statement shows a need for further teaching?

1. A“I will go for my blood tests as planned.”
2. B“I will take ibuprofen every day for my headaches.”
3. C“I will keep my daily salt intake about the same as usual.”
4. D“I will drink enough fluid every day.”