Приоритизация и делегирование: лист заданий с ответами

Что означает уровень 1 в индексе тяжести неотложных состояний (Emergency Severity Index, ESI)?

1. AНужно немедленное жизнеспасающее вмешательство
2. BНужны два или более ресурса
3. CДостаточно стабилен, чтобы его принимали в зоне быстрой помощи
4. DНаименее срочный пациент

What is the main purpose of a rapid response team?

1. ATo assess and treat a deteriorating patient before an arrest happens
2. BTo transport stable patients between hospital units
3. CTo handle complaints from patients and families
4. DTo review medication errors and falls after they have happened on the unit

Which statement about pulse oximetry is correct?

1. AIt shows the patient’s blood glucose
2. BCold fingers or nail polish can give an inaccurate reading
3. CThe reading is always correct, whatever finger or hand is used
4. DIt measures the carbon dioxide in the blood

Which action helps prevent a catheter-associated urinary tract infection?

1. ARaising the drainage bag above the bladder when walking
2. BDisconnecting the bag every shift to empty it
3. CKeeping the drainage bag below the level of the bladder
4. DLeaving the catheter in place longer than needed

Which medication order should the nurse question?

1. APotassium chloride diluted in an IV bag via a pump
2. BPotassium chloride by IV push
3. CPotassium chloride oral solution diluted in juice
4. DOral potassium chloride with food

A patient’s chest tube becomes disconnected from the drainage system. What should the nurse do first?

1. AWait for the provider to arrive before doing anything else
2. BRemove the tube and cover the site
3. CClamp the tube for the rest of the shift
4. DPlace the end of the tube in a bottle of sterile water

Two hours after a femoral cardiac catheterization, the nurse sees blood spreading from the puncture site. What is the first action?

1. ARaise the head of the bed so the patient can sit up
2. BRemove the dressing and leave the site open to the air
3. CAsk the patient to bend the leg at the hip to stop the bleeding
4. DApply firm, direct pressure just above the puncture site

A marathon runner is confused, with a temperature of 41 °C and hot skin. What is the priority?

1. ARapid cooling while supporting airway and circulation
2. BGiving an antipyretic tablet and waiting for it to work
3. CWrapping the runner in a blanket to prevent shivering
4. DAsking the runner to rest in the shade and drink slowly