Приоритизация и делегирование: лист заданий с ответами

In stroke care, what does the “last known well” time mean?

1. AThe last time the patient was seen without stroke symptoms
2. BThe time the patient arrived at the hospital and was triaged
3. CThe time the first symptom was noticed by a stranger
4. DThe time of the patient’s last meal

Какая обучающая деятельность относится к дипломированной медсестре, а не к LPN/LVN?

1. AПервое обучение по новому диагнозу и его лечению
2. BЗакрепление обучения, которое RN уже провела
3. CНапоминание пациенту пользоваться стимулирующим спирометром ежечасно
4. DРаздача листовки, которую RN уже объяснила

Что из перечисленного является одним из пяти «правильных» делегирования?

1. AПравильный надзор и оценка
2. BПравильный путь и место инъекции
3. CПравильная доза и концентрация
4. DПравильное время и частота

On day 3 after hip surgery, a patient suddenly becomes short of breath with sharp chest pain and an SpO₂ of 88%. What should the nurse do first?

1. AMassage the patient’s calves to ease any muscle cramp
2. BGive the next dose of oral analgesia and reassess the patient in an hour
3. CEncourage the patient to walk to improve the circulation
4. DRaise the head of the bed, give oxygen and call for urgent help

A patient on a continuous IV heparin infusion has new black, tarry stools and an aPTT well above the target range. What should the nurse do first?

1. AGive a dose of vitamin K by mouth
2. BCheck the pump rate and leave the infusion running
3. COffer an iron-rich meal to replace the lost blood
4. DStop the heparin infusion and inform the provider

Which postoperative patient should the nurse see first?

1. ADressing soaked with bright red blood and a heart rate rising to 118/min
2. BWants help with washing her hair before her visitors arrive this afternoon
3. CPain of 4/10 one hour after an oral analgesic
4. DAsking when the urinary catheter will be removed

An RN has five patients and a nursing assistant. One patient has just become short of breath. Which task should the RN delegate so that the RN can go to that patient?

1. AMorning vital signs on the four stable patients
2. BGiving the breathless patient’s IV furosemide
3. CAssessing the breathless patient’s lung sounds
4. DExplaining the new diagnosis to the breathless patient’s family

Four laboratory results come back at once. Which one should the nurse report first?

1. ACreatinine 1,3 mg/dL in an older adult, unchanged from last week
2. BHemoglobin 6,5 g/dL (65 g/L) in a patient with a GI bleed
3. CGlucose 180 mg/dL after a meal in a patient with diabetes
4. DPotassium 3,4 mEq/L in a patient on a diuretic