Приоритизация и делегирование: лист заданий с ответами

Which platelet count is within the normal adult range?

1. A90,000/mm³ (90 × 10⁹/L)
2. B250,000/mm³ (250 × 10⁹/L)
3. C700,000/mm³ (700 × 10⁹/L)
4. D40,000/mm³ (40 × 10⁹/L)

A medication error has just reached a patient. What is the nurse’s first action?

1. ATell the nurse manager at the end of the shift
2. BComplete an incident report before doing anything else
3. CAssess the patient for any effects of the error
4. DCorrect the entry on the medication record

Which finding should a nursing assistant report to the nurse at once?

1. AA pulse of 42/min in a patient whose usual pulse is 76/min
2. BA patient whose weight is unchanged from yesterday
3. CA patient who would like tea instead of coffee
4. DA patient who wants to shower in the evening

A nurse teaches a patient to use an incentive spirometer. Which statement shows a need for further teaching?

1. A“I will breathe in slowly and deeply through the mouthpiece.”
2. B“I will try to hold my breath for a few seconds at the top.”
3. C“I will use it several times every hour while awake.”
4. D“I will blow into it as hard and fast as I can.”

A patient’s peripheral IV site is swollen, pale and cool, and the infusion has slowed. What should the nurse do first?

1. AApply a tight bandage over the site to reduce swelling
2. BIncrease the infusion rate to overcome the resistance
3. CStop the infusion and remove the cannula
4. DFlush the cannula hard to clear the blockage

A patient taking lithium has vomiting, diarrhea and a new coarse tremor. What should the nurse do?

1. AHold the next dose and report for an urgent lithium level
2. BGive the dose with food to reduce the stomach upset
3. CReassure the patient that a coarse tremor is expected at first
4. DEncourage the patient to cut down on salt and fluids

Какая находка у пациента неожиданна и требует действий после трансуретральной резекции предстательной железы с непрерывным орошением мочевого пузыря?

1. AЛёгкие спазмы мочевого пузыря, облегчающиеся назначенным спазмолитиком
2. BОщущение позыва к мочеиспусканию несмотря на катетер
3. CЯрко-красная моча со сгустками и сниженный отток через катетер
4. DСлабо-розовая моча, которая светлеет в течение дня

A nurse has a needlestick injury from a used needle. What should the nurse do first?

1. AFinish the shift and report it tomorrow
2. BWash the area with soap and water
3. CScrub the area with bleach
4. DSqueeze the wound hard and suck it