Приоритизация и делегирование: лист заданий с ответами

Что в вопросах о приоритетах означает «нестабильный» пациент?

1. AПациент, принимающий более пяти разных лекарств
2. BПациент, встревоженный и плачущий перед завтрашней операцией
3. CПациент с длительным заболеванием, например диабетом
4. DПациент, состояние которого меняется или трудно предсказуемо

Which protective equipment is needed for airborne precautions?

1. AGloves only
2. BA plastic apron only
3. CA simple surgical mask worn loosely
4. DA fit-tested N95 or FFP3 respirator

What does the Braden Scale measure?

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

A patient has a tonic-clonic seizure in bed. What should the nurse do first?

1. AProtect the head and turn the patient on their side when possible
2. BHold the arms and legs down firmly to stop the jerking movements quickly
3. CGive a drink of water to help the patient wake
4. DPlace a tongue depressor between the teeth

Which action by a nursing assistant needs the nurse to step in?

1. ATaking an oral temperature just after the patient drank cold water
2. BLowering the bed to its lowest position and locking the wheels after care
3. CCleaning hands before entering the room
4. DPutting the call light within the patient’s reach

An arterial blood gas shows pH 7,28, PaCO₂ 40 mmHg (5,3 kPa) and HCO₃⁻ 16 mEq/L (mmol/L). How should the nurse interpret it?

1. AMetabolic acidosis
2. BMetabolic alkalosis
3. CRespiratory alkalosis
4. DRespiratory acidosis

A patient is admitted with inhalational anthrax. Which precautions are needed?

1. AStandard precautions, because it does not usually spread from person to person
2. BAirborne precautions in a negative-pressure room for the whole of the hospital stay
3. CFull contact and droplet precautions for all staff and visitors on the unit
4. DDroplet precautions with a surgical mask for everyone who enters

A patient arrives at the emergency department with a plan to end their life, but has normal vital signs. Which ESI level fits best?

1. ALevel 5
2. BLevel 1
3. CLevel 4
4. DLevel 2