Приоритизация и делегирование: лист заданий с ответами

What does the Braden Scale measure?

1. AThe severity of alcohol withdrawal symptoms
2. BThe risk of falling during a hospital stay
3. CThe level of consciousness after a head injury
4. DThe risk of developing a pressure injury

What does NPO mean on a patient’s care plan?

1. ANormal patient observations
2. BNo pain observed
3. CNothing by mouth
4. DNot for physical therapy

Which of these is one of the standard “rights” of medication administration?

1. ARight brand
2. BRight ward
3. CRight patient
4. DRight colleague

A patient with heart failure gained 2 kg (about 4 lb) since yesterday and is more breathless when lying down. What should the nurse do first?

1. ARecord the weight on the chart and recheck it at the next weekly weigh-in
2. BAssess the lungs, oxygen saturation and swelling, then inform the provider
3. CEncourage extra fluids to correct the weight change
4. DLay the patient flat to help them breathe more easily

A nurse teaches a patient who has started warfarin. Which statement shows a need for further teaching?

1. A“If I miss a dose, I will take two the next day.”
2. B“I will tell my dentist and pharmacist that I take warfarin.”
3. C“I will use a soft toothbrush.”
4. D“I will keep my INR blood test appointments.”

During an IV vancomycin infusion, a patient develops flushing and itching of the face and neck. What should the nurse do first?

1. ASpeed up the infusion to finish it quickly
2. BApply a warm compress to the face and neck
3. CStop or slow the infusion and inform the provider
4. DIgnore it, because flushing is always harmless and passes

A nurse sees a colleague put a vial of an opioid into their own pocket instead of returning it. What should the nurse do?

1. ATell the patients to watch the colleague carefully
2. BSay nothing, because it is not their business
3. CAsk the colleague to share the vial with them
4. DReport it to the nurse manager according to policy

A patient with MRSA in a wound is on contact precautions. Which instruction to the nursing assistant is correct?

1. AWear a gown and gloves for contact with the patient or the room, and use dedicated equipment
2. BOnly wear gloves when touching the wound itself; skin and bedding are safe
3. CWear a respirator mask in the room, because MRSA in a wound spreads through the air to others
4. DNo special precautions are needed if the wound is covered with a dressing