Робочий аркуш «Пріоритезація та делегування» з відповідями

A nurse is worried about a patient’s worsening condition, and the provider does not respond to the concern. Following the chain of command, whom does the nurse usually contact next?

1. AThe patient’s next of kin
2. BThe pharmacy technician on duty that day
3. CThe charge nurse or nursing supervisor
4. DThe hospital’s chief executive

Which fasting blood glucose value is normal for an adult without diabetes?

1. A85 mg/dL (4,7 mmol/L)
2. B145 mg/dL (8,0 mmol/L)
3. C55 mg/dL (3,1 mmol/L)
4. D210 mg/dL (11,7 mmol/L)

Що таке тріаж?

1. AСортування пацієнтів за терміновістю потреби в допомозі
2. BРівномірний розподіл пацієнтів між медсестрами на зміні
3. CЛікування пацієнтів строго в порядку їх надходження
4. DПереміщення пацієнтів між відділеннями залежно від наявності ліжок

A patient with heart failure gained 2 kg (about 4 lb) since yesterday and is more breathless when lying down. What should the nurse do first?

1. AEncourage extra fluids to correct the weight change
2. BLay the patient flat to help them breathe more easily
3. CRecord the weight on the chart and recheck it at the next weekly weigh-in
4. DAssess the lungs, oxygen saturation and swelling, then inform the provider

A patient’s peripheral IV site is swollen, pale and cool, and the infusion has slowed. What should the nurse do first?

1. AIncrease the infusion rate to overcome the resistance
2. BFlush the cannula hard to clear the blockage
3. CStop the infusion and remove the cannula
4. DApply a tight bandage over the site to reduce swelling

Two nursing assistants argue loudly at the station about their assignments. What is the charge nurse’s best first step?

1. AChange both of their assignments without any discussion
2. BMeet both of them privately to hear each side
3. CReport them to human resources at once
4. DIgnore it and hope they sort it out

The charge nurse overhears four instructions from an RN to a nursing assistant. Which one needs to be corrected?

1. A“Help him wash and change, and tell me at once if you see any red or broken skin.”
2. B“Check his glucose before lunch and tell me the number straight away.”
3. C“Check his glucose and give the insulin according to the sliding scale.”
4. D“Walk him to the bathroom and back, and stay with him the whole time.”

A patient admitted with a stroke this morning asks for a glass of water. What should the nurse do first?

1. AGive the water through a straw so it goes down slowly
2. BGive thickened fluids without checking the swallow
3. CCheck that a swallow screen has been done before giving anything by mouth
4. DAsk the family to help the patient drink while sitting upright in a chair at the bedside