Приоритизация и делегирование: лист заданий с ответами

In US units, which blood urea nitrogen (BUN) result is within the normal adult range?

1. A2 mg/dL
2. B15 mg/dL
3. C45 mg/dL
4. D70 mg/dL

When taking off protective equipment, which item is usually removed first?

1. AMask
2. BGloves
3. CGoggles
4. DGown

What should the nurse try before using physical restraints on a confused patient?

1. ALess restrictive measures, such as more frequent checks or a bed alarm
2. BAsking the family to bring restraints from home
3. CRestraining all four limbs to be fully safe
4. DUsing restraints at once and removing them later if they turn out not to be needed

A patient uses patient-controlled analgesia (PCA) after surgery. Which statement by a family member shows a need for further teaching?

1. A“Only she should press the button when she needs pain relief.”
2. B“I will press the button for her while she is asleep so she stays comfortable.”
3. C“I will tell the nurse if she becomes very sleepy or hard to wake.”
4. D“The pump has limits set by the nurse so she cannot get too much at once.”

A patient is receiving a blood transfusion. Which task can the nurse delegate to a nursing assistant?

1. ADeciding whether to stop the transfusion if the patient has chills
2. BAssessing the patient for signs of a transfusion reaction
3. CStarting the transfusion once the blood arrives
4. DMeasuring and reporting vital signs at the times set by the nurse

A young adult has just started an SSRI antidepressant for major depression. What should the nurse monitor most closely in the first weeks?

1. AWeight loss from too much appetite
2. BRising blood glucose levels
3. CHair growth and skin color
4. DThoughts of suicide or self-harm

A 2-month-old infant has a spiral fracture of the femur. The parents say the baby rolled off the sofa. What should the nurse recognize?

1. AThe injury does not fit the infant’s development, so possible abuse must be reported
2. BNo further action is needed once the fracture is treated
3. CA spiral fracture in an infant is always caused by birth trauma
4. DInfants of this age often roll off furniture and break bones in this way

A patient with Guillain-Barré syndrome has weakness that is spreading up from the legs. Which assessment has the highest priority?

1. ABreathing strength, such as vital capacity and the ability to cough
2. BThe patient’s mood and coping
3. CSkin condition over the heels
4. DMuscle strength in the feet and ankles at the start of each morning