Приоритизация и делегирование: лист заданий с ответами

Which laboratory finding is expected in a patient with chronic kidney disease who receives dialysis?

1. AA raised serum creatinine
2. BA platelet count of 900,000/mm³
3. CA low serum creatinine
4. DA serum sodium of 160 mEq/L

In the AVPU scale, what does the P mean?

1. APulse present and regular
2. BResponds only to pain
3. CPupils equal and reactive
4. DPain score below 5

What does a “PRN” medication order mean?

1. AGive the drug only before surgery
2. BGive the drug when needed, within the prescribed limits
3. CGive the drug once only, immediately
4. DGive the drug at exactly the same time every single day

A nurse cannot read part of a medication order. What should the nurse do?

1. AAsk another nurse to guess what the order most likely says, then give it
2. BGive the usual dose of the drug the nurse thinks was meant
3. CSkip the drug and not tell anyone until the next ward round
4. DContact the prescriber to clarify the order before giving the drug

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. BStop or slow the infusion and inform the provider
3. CIgnore it, because flushing is always harmless and passes
4. DApply a warm compress to the face and neck

Which SBAR recommendation is the clearest?

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

Помощник медсестры измерил жизненные показатели через 15 минут после первой дозы морфина. Он сообщает частоту дыхания 10/мин и говорит, что пациента трудно разбудить. Что должна сделать медсестра?

1. AНемедленно пойти, разбудить пациента, поддержать дыхание и подготовить налоксон по назначению
2. BЗадокументировать находки и сообщить врачу на следующем плановом обходе
3. CПопросить помощника повторно измерить частоту дыхания через 15 минут и сообщить
4. DПозвонить врачу за назначениями, прежде чем идти к пациенту

A patient with major depression has been withdrawn for weeks but is suddenly calm and cheerful and gives away her belongings. What should the nurse suspect?

1. AThat she is getting ready for discharge as planned
2. BA full recovery, so observation can be reduced
3. CA raised risk of suicide, because she may have made a decision
4. DA side effect of her antidepressant medicine that needs no special action