Робочий аркуш «Пріоритезація та делегування» з відповідями

Що в делегуванні означають «правильні вказівки та комунікація»?

1. AПопросити виконавця повідомити про будь-які незвичні знахідки наприкінці зміни
2. BСказати виконавцеві покладатися на власне судження
3. CЧіткі, конкретні інструкції: що робити, коли і про що доповісти
4. DЗаписати завдання лише в карту пацієнта

Which serum potassium result should the nurse report to the provider promptly?

1. A6,4 mEq/L (6,4 mmol/L)
2. B4,9 mEq/L (4,9 mmol/L)
3. C4,2 mEq/L (4,2 mmol/L)
4. D3,8 mEq/L (3,8 mmol/L)

After caring for a patient with Clostridioides difficile diarrhea, how should the nurse clean their hands?

1. AUse alcohol hand rub only
2. BWipe hands on a clean towel
3. CNo hand hygiene is needed if gloves were worn
4. DWash with soap and water

During an IV vancomycin infusion, a patient develops flushing and itching of the face and neck. What should the nurse do first?

1. AApply a warm compress to the face and neck
2. BIgnore it, because flushing is always harmless and passes
3. CSpeed up the infusion to finish it quickly
4. DStop or slow the infusion and inform the provider

A nurse cannot read part of a medication order. What should the nurse do?

1. AAsk another nurse to guess what the order most likely says, then give it
2. BSkip the drug and not tell anyone until the next ward round
3. CContact the prescriber to clarify the order before giving the drug
4. DGive the usual dose of the drug the nurse thinks was meant

Which action helps prevent a catheter-associated urinary tract infection?

1. ARaising the drainage bag above the bladder when walking
2. BLeaving the catheter in place longer than needed
3. CDisconnecting the bag every shift to empty it
4. DKeeping the drainage bag below the level of the bladder

A patient at 32 weeks of pregnancy feels dizzy and faint while lying flat on her back. What should the nurse do first?

1. ARaise her legs while she stays on her back
2. BTurn her onto her left side
3. CGive her a sugary drink and keep her flat
4. DSit her upright with her head between her knees

During JumpSTART triage, a child is not breathing after the airway is opened but has a palpable pulse. What is the next step?

1. AStart full CPR on the child and stay with them until more help arrives
2. BTag the child black at once and move on to the next victim
3. CGive five rescue breaths; if breathing starts, tag the child red
4. DTag the child green and return to them after the others