Приоритизация и делегирование: лист заданий с ответами

Which task should the registered nurse not delegate to a nursing assistant?

1. AEvaluating whether the patient understood discharge teaching
2. BMaking an occupied bed
3. CWalking a stable patient up and down the corridor after lunch
4. DGiving a bed bath to a stable patient

Which symptoms are classic signs of digoxin toxicity?

1. AHair loss and weight gain
2. BA rash, high fever and swollen lymph nodes in the neck
3. CNausea, poor appetite and yellow-green visual halos
4. DHigh blood sugar and increased thirst

A patient’s urine output is 15 mL/h for three hours. How should the nurse classify this in an adult?

1. ALow and needing to be reported
2. BExpected after drinking fluids
3. CNormal for an adult at rest
4. DHigh, suggesting fluid overload

A patient reports pain of 8/10. Before giving the prescribed as-needed analgesic, what does the nurse do first?

1. ATell the patient to wait until the next scheduled dose is due in two hours
2. BAssess the location, character and onset of the pain and the vital signs
3. CGive the strongest analgesic on the chart straight away
4. DAsk the nursing assistant to reposition the patient

При триаже START на месте происшествия с массовыми жертвами пострадавший может дойти до указанной зоны по просьбе. В какую категорию он попадает?

1. AЗелёная (лёгкие)
2. BКрасная (немедленная помощь)
3. CЧёрная (безнадёжные)
4. DЖёлтая (отсроченная помощь)

A patient receiving an aminoglycoside antibiotic, such as gentamicin, reports ringing in the ears. What should the nurse do?

1. AGive the next dose early to finish the course
2. BHold the next dose and report it promptly
3. CAdvise the patient to use ear drops
4. DReassure the patient that it is a normal effect

An RN sees an LPN/LVN crushing an extended-release metoprolol tablet to mix with applesauce. What should the RN do?

1. ATell the LPN/LVN to give half of the crushed tablet now and the other half at lunchtime
2. BStop the LPN/LVN and contact the prescriber or pharmacist about another form
3. CLet the LPN/LVN continue, since crushing makes the tablet easier to swallow
4. DReport the LPN/LVN at the end of the month without saying anything now

A patient with suspected sepsis has four prescribed orders. Which should usually be done first?

1. ATake blood cultures
2. BArrange a chest X-ray for later today
3. CGive the IV antibiotic
4. DRepeat the lactate in six hours