Приоритизация и делегирование: лист заданий с ответами

Какая проблема пациента, как правило, имеет наивысший приоритет?

1. AНедостаток знаний о лекарствах
2. BТревога
3. CОбструкция дыхательных путей
4. DОстрая боль

Какой уровень пирамиды Маслоу идёт непосредственно после физиологических потребностей?

1. AСамоактуализация
2. BБезопасность и защищённость
3. CЛюбовь и принадлежность
4. DУважение и признание

Which capillary refill time is prolonged in an adult?

1. ALess than 1 second
2. B2 seconds
3. C1 second
4. D4 seconds

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

Two hours after birth, the nurse finds the uterus firm but above the umbilicus and pushed to the right. What should the nurse do first?

1. AGive a dose of oxytocin straight away
2. BMassage the uterus firmly for ten minutes
3. CAsk the patient to lie still for another hour
4. DHelp the patient empty her bladder

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

An adult has burns over 40% of the body with no signs of airway injury. Which treatment is the priority during the first hours?

1. ALarge-volume IV fluids with close monitoring of urine output
2. BGiving a high-protein meal to support healing
3. CStarting physiotherapy to prevent contractures straight away
4. DApplying antibiotic cream to all the burns before anything else

A medical-unit nurse is floated to intensive care and given a patient on a ventilator, which the nurse has never managed. What is the best response?

1. ARefuse to work and go home, because the assignment is unsafe
2. BAccept the full assignment without comment to avoid conflict
3. CTell the charge nurse about the gap, accept tasks within competence and ask for support
4. DLeave the intensive care unit and go back to the medical unit without telling anyone