Приоритизация и делегирование: лист заданий с ответами

In the ABC framework, which finding is mainly a breathing problem?

1. AA blood glucose of 60 mg/dL (3,3 mmol/L)
2. BStridor caused by a swollen throat
3. CShallow breaths with an SpO₂ of 85% on room air
4. DHeart rate 150/min with a low blood pressure and cold skin

What is a “critical value” in laboratory testing?

1. AA result that is slightly outside the normal range and can wait for the ward round
2. BA result that the patient has asked to see
3. CA result that may be life-threatening and must be reported at once
4. DA result that is needed only for research

Where is intramuscular epinephrine usually injected for anaphylaxis?

1. AThe buttock
2. BA vein in the hand
3. CThe outer middle thigh
4. DThe abdomen under the skin

A nurse teaches a patient about sublingual nitroglycerin tablets. Which statement shows a need for further teaching?

1. A“I may get a headache after taking a tablet.”
2. B“I will swallow the tablet with a glass of water.”
3. C“I will keep the tablets in their original dark container.”
4. D“I will sit down before I take a tablet.”

A patient has a new plaster cast that is still drying. How should the nurse handle it?

1. ABy resting it directly on a hard surface
2. BWith the palms of the hands, not the fingertips
3. CWith the fingertips, pressing firmly to test it
4. DBy covering it tightly with a plastic sheet

A nurse teaches a patient who has started warfarin. Which statement shows a need for further teaching?

1. A“If I miss a dose, I will take two the next day.”
2. B“I will use a soft toothbrush.”
3. C“I will keep my INR blood test appointments.”
4. D“I will tell my dentist and pharmacist that I take warfarin.”

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. AAssessing the breathless patient’s lung sounds
2. BMorning vital signs on the four stable patients
3. CGiving the breathless patient’s IV furosemide
4. DExplaining the new diagnosis to the breathless patient’s family

Before surgery, a nurse is asked to witness a patient’s consent. The patient was given a sedative 30 minutes ago. What should the nurse do?

1. AWitness it and write “sedated” beside the signature
2. BWitness it quickly before the sedative takes full effect
3. CAsk a family member to sign on the patient’s behalf
4. DNot witness the consent and inform the surgeon