Приоритизация и делегирование: лист заданий с ответами

In the Emergency Severity Index (ESI), which patient fits level 2?

1. AA stable patient who needs no resources
2. BA high-risk situation, new confusion, or severe pain or distress
3. CA stable patient who needs one resource
4. DA patient who needs an immediate life-saving intervention to survive

Which finding meets the usual definition of orthostatic hypotension?

1. ABlood pressure is the same lying and standing
2. BSystolic pressure rises by 20 mmHg or more within 3 minutes of standing up
3. CSystolic pressure falls by 20 mmHg or more within 3 minutes of standing
4. DHeart rate falls by 5/min after lying down

An adult arrives at the emergency department with chest pain. Which test should be done within about 10 minutes of arrival?

1. AAn exercise stress test
2. BA 12-lead ECG
3. CA lipid profile
4. DA chest CT scan

After a hip replacement using a posterior approach, which statement shows a need for further teaching?

1. A“I will keep a pillow between my knees when I lie on my side in bed.”
2. B“I will cross my legs when I sit, so I am more comfortable.”
3. C“I will not bend my hip past 90 degrees.”
4. D“I will use a raised toilet seat at home.”

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

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

A nurse has called the rapid response team for a deteriorating patient. What should the nurse do while waiting for the team?

1. AStay with the patient, give oxygen as prescribed and have recent vital signs ready
2. BGive a dose of every as-needed medication on the chart
3. CLeave the patient for a few minutes to find the relatives and explain what is happening
4. DGo to the station to finish documentation for other patients

При триаже START неходячий взрослый дышит 28 раз в минуту, лучевого пульса нет, капиллярное наполнение 4 секунды. В какую категорию он попадает?

1. AКрасная (немедленная помощь)
2. BЖёлтая (отсроченная помощь), так как частота дыхания ниже 30/мин
3. CЧёрная (безнадёжные)
4. DЗелёная (лёгкие)

При триаже START неходячий взрослый дышит 24 раза в минуту, лучевой пульс есть, но он не выполняет простые команды. В какую категорию он попадает?

1. AЧёрная (безнадёжные)
2. BЖёлтая (отсроченная помощь)
3. CКрасная (немедленная помощь)
4. DЗелёная (лёгкие)