Приоритизация и делегирование: лист заданий с ответами

Which hemoglobin result is low for an adult woman?

1. A14,0 g/dL (140 g/L)
2. B12,6 g/dL (126 g/L)
3. C7,8 g/dL (78 g/L)
4. D13,2 g/dL (132 g/L)

Which serum potassium result should the nurse report to the provider promptly?

1. A3,8 mEq/L (3,8 mmol/L)
2. B4,2 mEq/L (4,2 mmol/L)
3. C4,9 mEq/L (4,9 mmol/L)
4. D6,4 mEq/L (6,4 mmol/L)

Which pain scale is designed for infants and young children who cannot describe their pain?

1. AThe FLACC scale
2. BThe Glasgow Coma Scale
3. CThe Braden Scale
4. DThe Morse Fall Scale

Which newborn finding needs prompt reporting?

1. AMild jaundice that first appears on the third day
2. BBluish hands and feet in the first hours
3. CMilia (small white spots) on the nose
4. DJaundice that appears within the first 24 hours

A patient is receiving opioids after surgery. Which finding usually comes before opioid-induced respiratory depression?

1. AIncreasing sleepiness that is hard to rouse
2. BA sudden rise in pain scores
3. CA rise in blood pressure with flushed cheeks
4. DIncreased appetite and thirst

Дипломированная медсестра говорит помощнику: «Проверьте пациента в палате 12». Какое «правильное» делегирования отсутствует?

1. AПравильная задача для обстановки
2. BПравильный человек для задачи
3. CПравильные указания и коммуникация
4. DПравильные обстоятельства

On a cardiac step-down unit, which patient should the nurse assess first?

1. ADay 2 after a pacemaker insertion, asking when the wound dressing will be changed
2. BAtrial fibrillation on warfarin with an INR of 2,6 this morning
3. CSix hours after a coronary stent, new chest pain with ST elevation on the monitor
4. DHeart failure, weight up 0,5 kg since yesterday, no breathlessness at rest

An older patient with heart failure is receiving a second unit of blood. She becomes breathless, with crackles in both lungs and a rising blood pressure. What is most likely happening?

1. ATransfusion-associated circulatory overload
2. BAn expected effect of the first unit
3. CHypoglycemia caused by the stored blood product
4. DA mild allergic reaction with hives