Приоритизация и делегирование: лист заданий с ответами

When is a patient most ready to learn about self-care?

1. AStraight after hearing bad news about a serious new diagnosis
2. BWhen pain is controlled and basic physical needs are met
3. CDuring a period of acute breathlessness
4. DWhile in severe pain, so the lesson feels important

What does a root cause analysis look for after a serious event?

1. AThe underlying system causes of the event
2. BHow much the event cost the hospital
3. CWhich patient made the complaint
4. DThe single staff member who should be blamed

When a charge nurse makes patient assignments, what does a patient’s “acuity” mean?

1. AHow far the patient’s room is from the nurses’ station
2. BHow many visitors the patient is expected to have
3. CHow long the patient has been in the hospital since admission
4. DHow ill the patient is and how much nursing care they need

Several patients on a gastroenterology unit need care. Which patient should the nurse see first?

1. ALong-standing back pain, asking for the usual analgesic
2. BCrohn disease, waiting to be taken down for a scheduled CT scan
3. CUlcerative colitis, asking about diet changes for home
4. DTwo hours after a colonoscopy: rigid abdomen and severe new pain

After a hip replacement, a patient has sudden severe hip pain, and the operated leg looks shorter and turned. What should the nurse suspect?

1. ADislocation of the new hip
2. BA pressure injury on the heel
3. CNormal pain after surgery
4. DA urinary tract infection

A nurse teaches foot care to a patient with diabetes. Which statement shows a need for further teaching?

1. A“I will soak my feet in hot water every evening.”
2. B“I will check the soles of my feet every day with a mirror.”
3. C“I will wear shoes that fit well, even at home.”
4. D“I will dry well between my toes after washing.”

During birth, the baby’s head delivers but the shoulders do not follow. What should the nurse do first?

1. AHelp with the McRoberts position and give suprapubic pressure as directed
2. BPull hard on the baby’s head and neck to free the trapped shoulders quickly
3. CAsk the mother to stop pushing and wait an hour
4. DPush firmly on the top of the uterus (fundal pressure)

Какого ребёнка медсестре следует осмотреть первым?

1. AПодростка с астмой, чей пиковый поток составляет 90% от его лучшего личного значения
2. BМладенца с RSV, у которого раздуваются крылья носа, втяжения грудной клетки и SpO₂ 89%
3. CРебёнка раннего возраста с температурой 38,4 °C, играющего с игрушками
4. DШкольника с гипсом на ноге, просящего пить