Приоритизация и делегирование: лист заданий с ответами
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Имя: ____________________ Дата: ____________
1.Лёгкая
Which serum sodium value is within the normal adult range?
A140 mEq/L (140 mmol/L)
B128 mEq/L (128 mmol/L)
C152 mEq/L (152 mmol/L)
D120 mEq/L (120 mmol/L)
2.Лёгкая
Что такое триаж?
AПеремещение пациентов между отделениями в зависимости от наличия коек
BЛечение пациентов строго в порядке поступления
CСортировка пациентов по срочности необходимой помощи
DРавное распределение пациентов между дежурными медсёстрами
3.Лёгкая
What does “scope of practice” mean?
AThe highest number of patients a nurse may care for during a single shift
BThe hospital areas where a nurse is allowed to work
CThe activities a nurse is educated, competent and legally allowed to do
DThe salary range that applies to each nursing role
4.Средняя
After a hip replacement using a posterior approach, which statement shows a need for further teaching?
A“I will keep a pillow between my knees when I lie on my side in bed.”
B“I will cross my legs when I sit, so I am more comfortable.”
C“I will not bend my hip past 90 degrees.”
D“I will use a raised toilet seat at home.”
5.Средняя
A patient on hemodialysis has an arteriovenous fistula in the left arm. Which instruction should the nurse give the nursing assistant?
AKeep the left arm wrapped tightly in a bandage at night
BDo not measure blood pressure on the left arm
CMeasure blood pressure on the left arm only, every 4 hours
DHelp the patient carry shopping bags on the left arm
6.Средняя
A patient is raising his voice, pacing and clenching his fists. What should the nurse do first?
ATurn away and ignore the behavior
BApply physical restraints at once
CStand very close to him and tell him firmly and loudly to sit down and be quiet
DSpeak calmly, keep a safe distance and invite him to talk about what is wrong
7.Сложная
A severely malnourished patient started nutrition two days ago and now has weakness and confusion. Which laboratory result should the nurse check first?
ASerum cholesterol
BSerum phosphate
CThyroid hormone
DSerum amylase
8.Сложная
A patient has a chest drain for a pneumothorax. The nurse sees constant bubbling in the water-seal chamber. What does this most likely mean?
AThe lung has fully re-expanded, so the drain is ready to come out
BThe suction is set too low and needs to be turned up
CAn air leak in the patient or the system that needs checking
DThe drain is working normally and no action is needed
Ответы
1. A · 140 mEq/L (140 mmol/L)
2. C · Сортировка пациентов по срочности необходимой помощи
3. C · The activities a nurse is educated, competent and legally allowed to do
4. B · “I will cross my legs when I sit, so I am more comfortable.”
5. B · Do not measure blood pressure on the left arm
6. D · Speak calmly, keep a safe distance and invite him to talk about what is wrong
7. B · Serum phosphate
8. C · An air leak in the patient or the system that needs checking
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