Робочий аркуш «Пріоритезація та делегування» з відповідями

What is a “critical value” in laboratory testing?

1. AA result that is slightly outside the normal range and can wait for the ward round
2. BA result that is needed only for research
3. CA result that may be life-threatening and must be reported at once
4. DA result that the patient has asked to see

Which finding should a nursing assistant report to the nurse at once?

1. AA patient who wants to shower in the evening
2. BA patient who would like tea instead of coffee
3. CA patient whose weight is unchanged from yesterday
4. DA pulse of 42/min in a patient whose usual pulse is 76/min

When a charge nurse makes patient assignments, what does a patient’s “acuity” mean?

1. AHow many visitors the patient is expected to have
2. BHow long the patient has been in the hospital since admission
3. CHow ill the patient is and how much nursing care they need
4. DHow far the patient’s room is from the nurses’ station

A patient wants to leave the hospital against medical advice. What should the nurse do?

1. AHide the patient’s clothes and belongings until the provider arrives
2. BInform the provider, explain the risks and document the discussion
3. CLock the door so the patient cannot leave the unit
4. DLet the patient leave without telling anyone

A drowsy patient has an arterial blood gas with pH 7,30, PaCO₂ 58 mmHg (7,7 kPa) and HCO₃⁻ 25 mEq/L (mmol/L). Which problem is the priority?

1. APoor ventilation causing carbon dioxide to build up
2. BLoss of bicarbonate from the bowel through severe diarrhea
3. CToo much bicarbonate from antacids
4. DHyperventilation caused by anxiety

Під час тріажу START на місці масового ураження постраждалий може дійти до визначеної зони на прохання. До якої категорії його відносять?

1. AЖовта (відкладено)
2. BЧорна (очікування)
3. CЧервона (негайно)
4. DЗелена (незначні)

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

1. AKeeping the room calm and quiet
2. BKeeping the head in line with the body
3. CSpacing out care with rest periods in between activities
4. DDoing suctioning, turning and bathing all at the same time

Знахідка якого пацієнта найтерміновіша?

1. AПацієнта, результат аналізу тромбоцитів якого очікується
2. BПацієнта на варфарині з МНВ 2,5, якому пора приймати звичну вечірню дозу
3. CПацієнта на інфузії гепарину, у якого нова сплутаність і сильний головний біль
4. DПацієнта після операції на коліні з невеликим синцем у місці ін'єкції