Приоритизация и делегирование: лист заданий с ответами

Which finding should a nursing assistant report to the nurse at once?

1. AA patient whose weight is unchanged from yesterday
2. BA patient who would like tea instead of coffee
3. CA patient who wants to shower in the evening
4. DA pulse of 42/min in a patient whose usual pulse is 76/min

Which statement belongs in the Background part of an SBAR report?

1. A“I think he may be developing sepsis.”
2. B“He was admitted three days ago with pneumonia and also has COPD.”
3. C“I am calling about Mr Khan because his blood pressure has dropped.”
4. D“I would like you to see him within the next 15 minutes.”

Which serum creatinine result suggests reduced kidney function in an adult?

1. A0,7 mg/dL (about 60 µmol/L)
2. B3,5 mg/dL (about 310 µmol/L)
3. C0,8 mg/dL (about 70 µmol/L)
4. D1,0 mg/dL (about 90 µmol/L)

A nurse teaches a patient about sublingual nitroglycerin tablets. Which statement shows a need for further teaching?

1. A“I will sit down before I take a tablet.”
2. B“I will keep the tablets in their original dark container.”
3. C“I may get a headache after taking a tablet.”
4. D“I will swallow the tablet with a glass of water.”

A patient’s urinary catheter has drained no urine for two hours, and the lower abdomen is swollen. What should the nurse do first?

1. AGive a prescribed diuretic straight away
2. BRemove the catheter and wait for the patient to void
3. CCheck the tubing for kinks or obstruction
4. DEncourage the patient to drink more water

An Rh-negative mother has just given birth to an Rh-positive baby. What does the nurse expect to give the mother?

1. AA dose of the hepatitis B vaccine instead
2. BRh immunoglobulin within 72 hours
3. CNo treatment is needed
4. DVitamin K to the mother

A nursing assistant has twice not reported abnormal vital signs to the RN. What is the RN’s best action?

1. AComplain about the assistant to the patients during care
2. BStop delegating any tasks to the assistant for the rest of the year
3. CSay nothing to the assistant and quietly recheck all of the assistant’s vital signs in secret
4. DTalk to the assistant privately, restate what must be reported and follow up closely

During JumpSTART triage, a child is not breathing after the airway is opened but has a palpable pulse. What is the next step?

1. ATag the child green and return to them after the others
2. BTag the child black at once and move on to the next victim
3. CGive five rescue breaths; if breathing starts, tag the child red
4. DStart full CPR on the child and stay with them until more help arrives