Приоритизация и делегирование: лист заданий с ответами

Using the rule of nines, what percentage of body surface does one whole arm represent in an adult?

1. A18%
2. B36%
3. C1%
4. D9%

What are Kussmaul respirations?

1. ASlow, shallow breathing after an opioid overdose
2. BNoisy, high-pitched breathing caused by a blocked upper airway
3. CShort pauses in breathing during normal sleep
4. DDeep, rapid breathing seen in metabolic acidosis such as DKA

Что означает чёрная бирка при триаже в чрезвычайной ситуации с массовыми жертвами?

1. AНаивысший приоритет лечения среди всех пострадавших
2. BУмер или вряд ли выживет при имеющихся ресурсах
3. CЛёгкие травмы, которые могут ждать многие часы
4. DЗаражён, требует полной дезактивации до оказания какой-либо помощи

A patient with angina is taught to use sublingual nitroglycerin (GTN). Which statement shows a need for further teaching?

1. A“I will sit or lie down when I take a tablet.”
2. B“I will take five tablets one after the other before I call for help.”
3. C“If the pain has not eased as my action plan says, I will call emergency services.”
4. D“I will carry the tablets with me when I go out.”

Before giving a scheduled dose of metoprolol, which assessment is most important?

1. ABowel sounds and urine color
2. BTemperature and the latest pain score
3. CApical pulse and blood pressure
4. DBlood glucose and weight

Во время внутривенной инфузии антибиотика у пациента появились крапивница, свистящее дыхание и охриплый голос. Что медсестра делает первым?

1. AЗамедляет инфузию вдвое
2. BДаёт дифенгидрамин внутрь
3. CДокументирует реакцию в карте
4. DОстанавливает инфузию

Which patient is the best choice for the room closest to the nurses’ station?

1. AA confused older adult at high risk of falls
2. BA patient admitted for a planned scan, feeling well
3. CA young adult waiting for discharge tomorrow
4. DA patient with stable diabetes who walks independently

A patient suddenly has severe pain in one leg. The leg is pale and cold with no pedal pulse. What does this suggest?

1. AAcute arterial occlusion, which is an emergency
2. BChronic venous insufficiency that needs elevation
3. CA deep vein thrombosis that can be treated next week
4. DA muscle cramp that will pass with stretching