Приоритизация и делегирование: лист заданий с ответами

When is a patient most ready to learn about self-care?

1. ADuring a period of acute breathlessness
2. BWhen pain is controlled and basic physical needs are met
3. CWhile in severe pain, so the lesson feels important
4. DStraight after hearing bad news about a serious new diagnosis

Once a nursing assistant has accepted a delegated task, who is responsible for doing it correctly?

1. AThe assistant who accepted the task
2. BThe patient receiving the care
3. COnly the nurse manager
4. DNobody, once the task has been delegated

В системе ABC, какая проблема относится к кровообращению?

1. AЧастота дыхания 32/мин
2. BНеконтролируемое кровотечение
3. CСтридор
4. DТревога

A nurse has given rapid-acting insulin, and then learns that the patient’s meal tray will be 45 minutes late. What should the nurse do?

1. AAsk the patient to walk around the ward until the food arrives
2. BTell the patient to wait and do nothing until the tray comes
3. CGet the patient some carbohydrate food now and check the glucose
4. DGive a second, smaller dose of insulin when the meal tray finally arrives

A patient had a colostomy formed yesterday. Which stoma appearance should be reported straight away?

1. ASlightly swollen
2. BDark purple or black
3. CMoist and pink-red
4. DA little bleeding when cleaned

Which practice makes a shift handover safest?

1. AHanding over only the patients who had problems during the shift
2. BLeaving a sticky note on the computer screen for the next nurse
3. CA quick chat in the corridor with no notes taken
4. DA structured format, such as SBAR, with time for questions

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?

1. AThe drain is working normally and no action is needed
2. BThe lung has fully re-expanded, so the drain is ready to come out
3. CAn air leak in the patient or the system that needs checking
4. DThe suction is set too low and needs to be turned up

Пациент получает парентеральное питание через центральный катетер. Какая находка требует немедленных действий?

1. AПрибавка массы 0,2 кг со вчерашнего дня
2. BСухая целая повязка над катетером
3. CПотливость, дрожь и глюкоза 62 mg/dL (3,4 mmol/L) после неожиданной остановки инфузии
4. DГлюкоза 150 mg/dL (8,3 mmol/L) во время инфузии