Приоритизация и делегирование: лист заданий с ответами

Which symptoms suggest high blood glucose (hyperglycemia)?

1. AConfusion that improves quickly with juice
2. BIncreased thirst and passing more urine
3. CSudden hunger with cold, clammy skin
4. DSweating, shaking and a fast pulse

In delegation, what does supervision mean?

1. ALeaving the delegate to finish without any contact
2. BSigning the delegate’s documentation without checking it
3. CGuidance, follow-up and evaluation of the delegated task by the nurse
4. DDoing every delegated task yourself to make sure that it is done right

When is the Apgar score usually assessed?

1. AAt 1 and 5 minutes after birth
2. BBefore the baby is born
3. CAt the first postnatal clinic visit
4. DOnly at 24 hours after birth

A patient taking clozapine reports a sore throat and fever. What is the priority action?

1. AIncrease the dose because the symptoms suggest a relapse
2. BHold the dose and report so the white cell count can be checked
3. CAdvise the patient to gargle with warm salt water and rest in bed
4. DOffer throat lozenges and continue the usual dose

A patient on hemodialysis has an arteriovenous fistula in the left arm. Which instruction should the nurse give the nursing assistant?

1. ADo not measure blood pressure on the left arm
2. BMeasure blood pressure on the left arm only, every 4 hours
3. CHelp the patient carry shopping bags on the left arm
4. DKeep the left arm wrapped tightly in a bandage at night

A nurse teaches a patient with COPD pursed-lip breathing. Which statement shows a need for further teaching?

1. A“I will breathe in through my mouth and out quickly through my nose.”
2. B“I will make my breath out about twice as long as my breath in.”
3. C“I will breathe out slowly through pursed lips.”
4. D“I will breathe in slowly through my nose.”

A patient receiving comfort-focused end-of-life care is distressed by breathlessness. Which approach is most appropriate?

1. AWithhold all opioids because they may slow breathing
2. BLeave the patient alone so they can rest
3. CGive prescribed opioids and use positioning and a fan to relieve breathlessness
4. DStart a series of aggressive tests to find the exact cause of the breathlessness

A patient with diabetes takes propranolol. Which sign of hypoglycemia is most likely to still appear?

1. ASweating
2. BPalpitations
3. CTremor
4. DTachycardia