Приоритизация и делегирование: лист заданий с ответами

In US patient-safety terms (The Joint Commission), what is a sentinel event?

1. AAn unexpected event that causes death or serious harm
2. BA routine handover between shifts
3. CA planned admission to intensive care
4. DA minor error that was noticed but caused no harm at all

Which finding is one of the quick SOFA (qSOFA) criteria for possible sepsis?

1. ATemperature below 36,5 °C on one reading
2. BRespiratory rate of 22/min or more
3. CBlood glucose above 100 mg/dL
4. DHeart rate below 60/min

An adult without lung disease is breathing room air. Which SpO₂ reading needs action?

1. A89%
2. B96%
3. C99%
4. D97%

A patient is receiving a blood transfusion. Which task can the nurse delegate to a nursing assistant?

1. ADeciding whether to stop the transfusion if the patient has chills
2. BStarting the transfusion once the blood arrives
3. CMeasuring and reporting vital signs at the times set by the nurse
4. DAssessing the patient for signs of a transfusion reaction

Before accessing a central venous catheter, what should the nurse do to prevent infection?

1. ATouch the hub to check it is clean
2. BBlow on the hub to remove any dust before connecting the syringe or line
3. CScrub the hub with an antiseptic such as chlorhexidine and let it dry
4. DRinse the hub with tap water and dry it

A nasogastric tube has just been placed for feeding. What must happen before the first feed is given?

1. AThe feed is started slowly to see if the patient coughs
2. BThe tube is flushed with a large volume of water
3. CThe patient is asked if the tube feels comfortable
4. DPlacement is confirmed by an approved method

An 85-year-old resident becomes newly confused and is falling, but has no fever. Which cause should the nurse consider first?

1. ABoredom from not having enough activities
2. BNormal aging that needs no assessment
3. CA sudden worsening of long-standing dementia that needs no tests
4. DAn infection, such as a urinary tract infection, presenting atypically

A charge nurse notices that a nurse smells of alcohol and is slurring words at the start of the shift. What is the priority?

1. ARemove the nurse from patient care and report it according to policy
2. BAsk the nurse to drink coffee and then start work
3. CLet the nurse work, but only with stable patients
4. DWait until the end of the shift and then discuss the concern with the nurse privately