Робочий аркуш «Пріоритезація та делегування» з відповідями

To which patients do standard precautions apply?

1. AOnly patients with an open wound
2. BOnly patients with a confirmed infection on a lab test
3. COnly patients in intensive care
4. DAll patients, whether or not an infection is known

In mmHg, what is the normal range for arterial PaCO₂?

1. A7,35–7,45 mmHg
2. B80–100 mmHg
3. C35–45 mmHg
4. D22–26 mmHg

What should the nurse try before using physical restraints on a confused patient?

1. AAsking the family to bring restraints from home
2. BLess restrictive measures, such as more frequent checks or a bed alarm
3. CUsing restraints at once and removing them later if they turn out not to be needed
4. DRestraining all four limbs to be fully safe

Which newborn finding needs prompt reporting?

1. AJaundice that appears within the first 24 hours
2. BMild jaundice that first appears on the third day
3. CBluish hands and feet in the first hours
4. DMilia (small white spots) on the nose

The day after a total thyroidectomy, a patient reports tingling around the mouth and in the fingers. What should the nurse do first?

1. AGive the patient’s routine oral iron supplement early
2. BReassure the patient that this is normal after neck surgery
3. CCheck for signs of low calcium and inform the provider
4. DEncourage deep breaths into a paper bag until it passes

A patient with angina is taught to use sublingual nitroglycerin (GTN). Which statement shows a need for further teaching?

1. A“I will sit or lie down when I take a tablet.”
2. B“If the pain has not eased as my action plan says, I will call emergency services.”
3. C“I will carry the tablets with me when I go out.”
4. D“I will take five tablets one after the other before I call for help.”

Якого пацієнта найкраще перевести з інтенсивної терапії, щоб звільнити місце для нового надходження?

1. AНа інфузії норепінефрину, дозу якого збільшили сьогодні вранці
2. BІнтубований 1 годину тому з приводу дихальної недостатності, ще під седацією
3. CГоспіталізований уночі з кровотечею з шлунково-кишкового тракту, все ще отримує кров
4. DЕкстубований 2 доби тому, стабільний на 2 L/min кисню через носові канюлі, без вазоактивних інфузій

A patient in labor is receiving oxytocin, and the fetal monitor shows repeated late decelerations. What should the nurse do first?

1. AEncourage the patient to start pushing
2. BPlace the patient flat on her back
3. CStop the oxytocin infusion
4. DIncrease the oxytocin rate