Приоритизация и делегирование: лист заданий с ответами

Which patient is unstable?

1. AA patient waiting for a planned hip X-ray
2. BA patient with a new irregular pulse who says they feel dizzy
3. CA patient with long-standing arthritis pain of 3/10
4. DA patient with a healing leg wound and normal vital signs this morning

Что из перечисленного является физиологической потребностью по Маслоу?

1. AЧувство безопасности дома
2. BВыделение мочи и кала
3. CУважение со стороны других
4. DЧувство принадлежности к семье

A medication error has just reached a patient. What is the nurse’s first action?

1. ACorrect the entry on the medication record
2. BAssess the patient for any effects of the error
3. CComplete an incident report before doing anything else
4. DTell the nurse manager at the end of the shift

Which patient is at the highest risk of falling?

1. AA 60-year-old admitted for chest pain that has since been ruled out by tests
2. BA 30-year-old after an appendectomy who walks with steady steps
3. CA 45-year-old with asthma who is alert and independent
4. DAn 84-year-old taking a diuretic who has fallen before and gets up at night

После передачи смены какого пациента медсестре следует осмотреть первым?

1. AПациента с астмой, использующего вспомогательные мышцы, с SpO₂ 88%
2. BПациента с диабетом, у которого глюкоза перед завтраком 160 mg/dL (8,9 mmol/L)
3. CПациента с пневмонией, температурой 38,2 °C, получившего жаропонижающее 30 минут назад
4. DПациента через два дня после эндопротезирования тазобедренного сустава с болью 5/10

A drowsy patient who has just returned from surgery starts to vomit. What should the nurse do first?

1. AGive an oral anti-sickness tablet
2. BGive a drink of water
3. CRaise the legs above the heart
4. DTurn the patient onto their side

An RN has five patients and a nursing assistant. One patient has just become short of breath. Which task should the RN delegate so that the RN can go to that patient?

1. AGiving the breathless patient’s IV furosemide
2. BAssessing the breathless patient’s lung sounds
3. CMorning vital signs on the four stable patients
4. DExplaining the new diagnosis to the breathless patient’s family

A patient with severe sepsis starts oozing blood from IV sites and the gums, and bruises appear on the skin. What should the nurse suspect?

1. AAn allergic reaction to the adhesive tape
2. BVitamin C deficiency
3. CDisseminated intravascular coagulation (DIC)
4. DNormal bruising from blood tests