Приоритизация и делегирование: лист заданий с ответами

При прочих равных, какая проблема обычно имеет приоритет?

1. AНовая острая проблема
2. BПроблема, которая больше всего волнует семью
3. CДавняя хроническая проблема, так как она затрагивает больше сторон жизни пациента
4. DПроблема, на решение которой нужно меньше всего времени

Какая проблема пациента, как правило, имеет наивысший приоритет?

1. AТревога
2. BОбструкция дыхательных путей
3. CОстрая боль
4. DНедостаток знаний о лекарствах

In mass-casualty triage, what does a yellow tag usually mean?

1. AMinor: the walking wounded
2. BDeceased or not expected to survive
3. CDelayed: serious injuries, but care can safely wait a little
4. DImmediate: life-threatening injuries that are survivable with quick care

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. ADiphenhydramine
2. BA warm milky drink
3. CMelatonin
4. DAcetaminophen (paracetamol)

During a blood transfusion, a patient develops chills, back pain and a fever. What is the nurse’s first action?

1. AFinish the unit quickly through a pressure bag so that the reaction does not last long
2. BGive an antipyretic and continue the transfusion
3. CStop the transfusion and keep the IV open with normal saline via new tubing
4. DSlow the transfusion and recheck in an hour

A patient has heart failure. Which instruction about daily weights is best to give the nursing assistant?

1. A“Only weigh him if his ankles look more swollen than they did yesterday afternoon.”
2. B“Weigh him at any time today, on whichever scale is free.”
3. C“Weigh him after lunch, fully dressed, with his shoes on.”
4. D“Weigh him each morning before breakfast, on the same scale, and tell me the result.”

A provider asks a nurse to perform a procedure that is outside the nurse’s scope of practice. What should the nurse do?

1. ADo it, because the provider gave the instruction
2. BDo it just this once and promise the provider not to do it again
3. CDecline, explain why and suggest who can safely do it
4. DAsk a nursing assistant to do it instead

A patient has a new spinal cord injury at C4. Which assessment is the priority?

1. ABowel sounds in all four abdominal quadrants
2. BSkin over the sacrum and heels
3. CAbility to feed themselves
4. DBreathing effort and ability to cough