Робочий аркуш «Пріоритезація та делегування» з відповідями

Яка проблема пацієнта загалом має найвищий пріоритет?

1. AГострий біль
2. BДефіцит знань про ліки
3. CТривога
4. DОбструкція дихальних шляхів

Which serum lithium level suggests toxicity?

1. A2,2 mEq/L
2. B1,0 mEq/L
3. C0,8 mEq/L
4. D0,7 mEq/L

Which protective equipment is needed for droplet precautions?

1. AA fitted N95 respirator at all times in the room
2. BGloves only, with no mask
3. CA lead apron and goggles
4. DA surgical mask when close to the patient

A patient’s urinary catheter has drained no urine for two hours, and the lower abdomen is swollen. What should the nurse do first?

1. AEncourage the patient to drink more water
2. BRemove the catheter and wait for the patient to void
3. CGive a prescribed diuretic straight away
4. DCheck the tubing for kinks or obstruction

Які з запланованих ліків найкритичніші за часом?

1. AЩоденний засіб від закрепу під час сніданку
2. BЩоденна таблетка статину для зниження холестерину під час сніданку о 08:00
3. CЩоденна таблетка полівітамінів о 08:00
4. DШвидкодіючий інсулін до сніданку, який уже доставили

A patient taking lisinopril develops swelling of the lips and tongue. What should the nurse do first?

1. AApply a cold pack and recheck in an hour
2. BTell the patient this is a common, harmless effect
3. CAssess the airway and call for urgent help
4. DGive the next dose of lisinopril with water

A charge nurse notices that a nurse smells of alcohol and is slurring words at the start of the shift. What is the priority?

1. AAsk the nurse to drink coffee and then start work
2. BLet the nurse work, but only with stable patients
3. CWait until the end of the shift and then discuss the concern with the nurse privately
4. DRemove the nurse from patient care and report it according to policy

Which nursing approach may raise intracranial pressure in a patient with a head injury?

1. ASpacing out care with rest periods in between activities
2. BDoing suctioning, turning and bathing all at the same time
3. CKeeping the room calm and quiet
4. DKeeping the head in line with the body