Приоритизация и делегирование: лист заданий с ответами

After caring for a patient with Clostridioides difficile diarrhea, how should the nurse clean their hands?

1. AWash with soap and water
2. BUse alcohol hand rub only
3. CWipe hands on a clean towel
4. DNo hand hygiene is needed if gloves were worn

При определении приоритетов «ожидаемая» находка — это та, которая:

1. AБыла предсказана пациентом или семьёй
2. BВсегда требует немедленного вызова бригады быстрого реагирования
3. CВсегда находится в пределах нормального референсного диапазона взрослого
4. DСоответствует известному состоянию или лечению пациента

Какой уровень пирамиды Маслоу идёт непосредственно после физиологических потребностей?

1. AБезопасность и защищённость
2. BУважение и признание
3. CЛюбовь и принадлежность
4. DСамоактуализация

A patient receiving chemotherapy has a temperature of 38,3 °C and a very low neutrophil count. What should the nurse do?

1. ADocument the reading and mention it at the next handover
2. BRecheck the temperature in four hours before telling anyone
3. CGive a cool shower and offer extra fluids, then wait and see what happens
4. DReport it at once, because cultures and antibiotics are needed quickly

A swimmer is found unresponsive after diving into shallow water. Which method should the nurse use to open the airway?

1. ARaising the chin while bending the neck forward
2. BHead-tilt, chin-lift with full neck extension
3. CJaw thrust, keeping the head and neck in line
4. DTurning the head to the side to drain water

Which action by a nursing assistant needs the nurse to step in?

1. ATaking an oral temperature just after the patient drank cold water
2. BCleaning hands before entering the room
3. CPutting the call light within the patient’s reach
4. DLowering the bed to its lowest position and locking the wheels after care

A patient with raised intracranial pressure is being nursed on the ward. Which position is best?

1. AFlat on the back with the head turned well over to one side
2. BSitting forward with the chin on the chest
3. CHead down with the legs raised above the heart
4. DHead of the bed at about 30 degrees with the neck straight

A patient at 36 weeks of pregnancy has sudden severe abdominal pain, a hard, board-like uterus and dark vaginal bleeding. What should the nurse suspect?

1. APlacenta previa, which is usually painless
2. BA urinary tract infection
3. CNormal labor contractions starting
4. DPlacental abruption, which is an emergency