Приоритизация и делегирование: лист заданий с ответами

Where is intramuscular epinephrine usually injected for anaphylaxis?

1. AA vein in the hand
2. BThe abdomen under the skin
3. CThe outer middle thigh
4. DThe buttock

Which patient needs a single room with airborne precautions?

1. AA patient with suspected pulmonary tuberculosis
2. BA patient with a urinary tract infection and a catheter
3. CA patient with a fractured femur
4. DA patient with type 2 diabetes

In which situation can a pulse oximeter give a falsely normal reading?

1. AA warm, well-perfused finger
2. BA patient breathing room air normally
3. CA healthy adult at rest
4. DCarbon monoxide poisoning

Which practice makes a shift handover safest?

1. AA structured format, such as SBAR, with time for questions
2. BLeaving a sticky note on the computer screen for the next nurse
3. CHanding over only the patients who had problems during the shift
4. DA quick chat in the corridor with no notes taken

Медсестра находит пациента на полу рядом с кроватью. Каково первое действие?

1. AСоставить акт о происшествии, пока свежи подробности
2. BПозвонить семье пациента, чтобы объяснить, что случилось
3. CОценить реакцию пациента и травмы, прежде чем двигать его
4. DСразу помочь пациенту вернуться в постель с помощью коллеги

A nurse teaches a patient who uses home oxygen. Which statement shows a need for further teaching?

1. A“I will put up no-smoking signs at the front door and in my room.”
2. B“My husband can smoke in my room if the window is open.”
3. C“I will not use oil-based creams on my face.”
4. D“I will keep the oxygen away from the gas stove.”

A patient at 36 weeks of pregnancy has sudden severe abdominal pain, a hard, board-like uterus and dark vaginal bleeding. What should the nurse suspect?

1. ANormal labor contractions starting
2. BPlacental abruption, which is an emergency
3. CA urinary tract infection
4. DPlacenta previa, which is usually painless

Two days after starting haloperidol, a patient suddenly develops painful neck twisting and the eyes roll upwards. What should the nurse anticipate?

1. AAn anticholinergic drug, such as benztropine or procyclidine, as prescribed
2. BPhysical restraint until the spasm passes
3. CNo action, because the spasm is a sign of improvement
4. DA higher dose of haloperidol to calm the patient and stop the movements quickly