Приоритизация и делегирование: лист заданий с ответами

In SBAR communication, what does the letter R stand for?

1. ARecommendation
2. BReassessment
3. CResponse
4. DResult

A conscious adult with hypoglycemia can swallow safely. What should the nurse give first?

1. AIV glucose through a new cannula as the first choice for every patient
2. BThe next dose of insulin
3. CA large protein meal
4. DA fast-acting carbohydrate by mouth, such as glucose tablets or juice

Какой пациент наиболее стабилен?

1. AПациент, у которого давление упало со 132/80 до 90/56 mmHg
2. BПациент через два дня после операции на колене с болью 3/10 и нормальными жизненными показателями
3. CПациент, у которого недавно появилась спутанность
4. DПациент с новой болью в груди

An anxious patient is breathing very fast and has tingling fingers. The blood gas shows pH 7,51 and PaCO₂ 29 mmHg (3,9 kPa). What should the nurse do first?

1. AGive IV sodium bicarbonate as soon as it can be found
2. BGive oxygen at the highest flow and leave the room
3. CEncourage the patient to breathe even faster
4. DStay with the patient and coach slow, calm breathing

An older patient with dementia is restless at night and keeps trying to get out of bed. Which measure should the nurse try first?

1. ACheck for pain, thirst or a full bladder, and offer toileting
2. BGive a sedative from the as-needed list without first assessing the patient
3. CApply wrist restraints for the rest of the night
4. DRaise all four bed rails so the patient cannot climb out

A patient’s chest tube becomes disconnected from the drainage system. What should the nurse do first?

1. AClamp the tube for the rest of the shift
2. BWait for the provider to arrive before doing anything else
3. CPlace the end of the tube in a bottle of sterile water
4. DRemove the tube and cover the site

A patient has peripheral arterial disease with a non-healing ulcer on the toe. Which advice about leg position is correct?

1. AKeep the legs raised above the heart as much as possible
2. BSit with the legs crossed to improve blood flow
3. CKeep the legs level or slightly lowered, not raised
4. DWrap the legs tightly with compression bandages

A patient taking an MAO inhibitor antidepressant is taught about diet. Which statement shows a need for further teaching?

1. A“A sudden severe headache is a warning sign.”
2. B“I can still eat aged cheese and cured salami.”
3. C“I will check with the pharmacist before cold remedies.”
4. D“I will avoid tap beer and red wine.”