Приоритизация и делегирование: лист заданий с ответами

Что такое триаж?

1. AЛечение пациентов строго в порядке поступления
2. BРавное распределение пациентов между дежурными медсёстрами
3. CПеремещение пациентов между отделениями в зависимости от наличия коек
4. DСортировка пациентов по срочности необходимой помощи

Which symptoms are classic signs of digoxin toxicity?

1. AA rash, high fever and swollen lymph nodes in the neck
2. BHigh blood sugar and increased thirst
3. CHair loss and weight gain
4. DNausea, poor appetite and yellow-green visual halos

Which task can the RN usually assign to an LPN/LVN?

1. ADoing the admission assessment of a new patient
2. BChanging the dressing on a stable, healing wound
3. CTriaging a new arrival in the emergency department
4. DWriting the patient’s initial plan of care

Which patient is at the highest risk of falling?

1. AA 30-year-old after an appendectomy who walks with steady steps
2. BA 45-year-old with asthma who is alert and independent
3. CA 60-year-old admitted for chest pain that has since been ruled out by tests
4. DAn 84-year-old taking a diuretic who has fallen before and gets up at night

On a postpartum unit, which patient is the most appropriate to assign to an LPN/LVN?

1. ASevere pre-eclampsia on a magnesium sulfate infusion
2. BOne hour after birth with heavy bleeding and a boggy uterus
3. CA new admission transferred from the labor ward with a fever of 38,6 °C
4. DDay 1 after an uncomplicated vaginal birth, stable vital signs

A nurse teaches a patient with heart failure. Which statement shows a need for further teaching?

1. A“I add extra salt to my food so it tastes better.”
2. B“I will call if my weight goes up quickly over a day or two.”
3. C“I will weigh myself every morning after I use the toilet.”
4. D“I will take my water tablet in the morning.”

У пациента после большой операции диурез 15 mL/h в течение двух часов, ЧСС 115/мин и холодные руки. Что медсестра должна сделать первым?

1. AОценить признаки шока, например кровотечения, и эскалировать
2. BПодождать ещё два часа, улучшится ли диурез
3. CПромыть катетер и проверить диурез завтра утром
4. DПредложить пациенту пить больше воды и проверить позже

A patient at 36 weeks of pregnancy has sudden severe abdominal pain, a hard, board-like uterus and dark vaginal bleeding. What should the nurse suspect?

1. AA urinary tract infection
2. BNormal labor contractions starting
3. CPlacental abruption, which is an emergency
4. DPlacenta previa, which is usually painless