Приоритизация и делегирование: лист заданий с ответами

Before giving a medication, how many patient identifiers should the nurse check?

1. AOne, the bed number
2. BAt least two, such as name and date of birth
3. COne, the room number
4. DNone, if the nurse already knows the patient well

Using the RACE fire response, what does the nurse do first when finding a fire in a patient’s room?

1. AClose doors to contain the fire and smoke
2. BRescue patients in immediate danger
3. CPull the fire alarm
4. DUse an extinguisher on the fire

Какой порядок используется в современной базовой реанимации при остановке сердца у взрослого?

1. AA-B-C: дыхательные пути, дыхание, кровообращение
2. BB-C-A: дыхание, кровообращение, дыхательные пути
3. CA-C-B: дыхательные пути, компрессии, дыхание
4. DC-A-B: компрессии, дыхательные пути, дыхание

A patient has a serum potassium of 2,9 mEq/L. Which finding should the nurse expect?

1. AA rise in urine output and thirst only
2. BMuscle weakness and U waves on the ECG
3. CFlushed, warm skin and a slow heart rate
4. DTall, peaked T waves and muscle twitching

Which SBAR recommendation is the clearest?

1. A“I just wanted to let you know about him.”
2. B“I will keep watching him and call again tomorrow.”
3. C“He seems a bit off tonight, so maybe you could come up and do something about it.”
4. D“I would like you to see him within 15 minutes and consider a fluid bolus.”

A nurse needs to give report on a patient to a colleague. Which information is the most important to include?

1. APersonal opinions about the patient’s family members and their visiting habits
2. BDetails of the nurse’s own break times that shift
3. CThe patient’s favorite television programs and hobbies
4. DThe patient’s current condition, recent changes and pending tasks

A charge nurse notices that a nurse smells of alcohol and is slurring words at the start of the shift. What is the priority?

1. AAsk the nurse to drink coffee and then start work
2. BWait until the end of the shift and then discuss the concern with the nurse privately
3. CLet the nurse work, but only with stable patients
4. DRemove the nurse from patient care and report it according to policy

Какому пациенту нужно внимание медсестры в первую очередь?

1. AПациенту с известными мигренями, у которого головная боль, как обычно
2. BПациенту, который говорит, что это «худшая головная боль в моей жизни», начавшаяся внезапно, при давлении 170/100 mmHg
3. CПациенту с хронической болью в спине, просящему грелку
4. DПациенту с давней гипертензией, у которого давление 158/94 mmHg и нет симптомов