Приоритизация и делегирование: лист заданий с ответами

Which finding is one of the quick SOFA (qSOFA) criteria for possible sepsis?

1. AHeart rate below 60/min
2. BBlood glucose above 100 mg/dL
3. CRespiratory rate of 22/min or more
4. DTemperature below 36,5 °C on one reading

Which body temperature is a fever in an adult?

1. A38,5 °C
2. B36,4 °C
3. C36,8 °C
4. D37,1 °C

Which patient need belongs to the love and belonging level of Maslow’s hierarchy?

1. ANeeding pain relief after surgery
2. BNeeding the call light within reach
3. CWanting family members to visit
4. DWanting praise for progress in rehabilitation

An Rh-negative mother has just given birth to an Rh-positive baby. What does the nurse expect to give the mother?

1. AA dose of the hepatitis B vaccine instead
2. BNo treatment is needed
3. CRh immunoglobulin within 72 hours
4. DVitamin K to the mother

An older adult asks for something to help them sleep. Which drug is most likely to cause confusion and falls in this age group?

1. AA warm milky drink
2. BAcetaminophen (paracetamol)
3. CMelatonin
4. DDiphenhydramine

Two nursing assistants argue loudly at the station about their assignments. What is the charge nurse’s best first step?

1. AMeet both of them privately to hear each side
2. BIgnore it and hope they sort it out
3. CChange both of their assignments without any discussion
4. DReport them to human resources at once

Which patient with cirrhosis should the nurse see first?

1. AVomiting bright red blood, heart rate 120/min
2. BLarge ascites that is unchanged from yesterday
3. CWants to talk about stopping drinking alcohol for good
4. DLong-standing jaundice and itchy skin, asking for cream

A victim heavily contaminated with an industrial chemical arrives at the emergency department with stable vital signs. What should happen first?

1. AFull assessment inside the main department straight away
2. BPlacing the victim in the waiting room until a doctor is free
3. CDecontamination before the victim enters the treatment area
4. DTaking the victim straight to the X-ray department