Робочий аркуш «Пріоритезація та делегування» з відповідями

What is the normal range for arterial bicarbonate (HCO₃⁻)?

1. A22–26 mEq/L
2. B80–100 mEq/L
3. C3,5–5,0 mEq/L
4. D35–45 mEq/L

Where is intramuscular epinephrine usually injected for anaphylaxis?

1. AThe outer middle thigh
2. BThe buttock
3. CThe abdomen under the skin
4. DA vein in the hand

In the Emergency Severity Index (ESI), which patient fits level 2?

1. AA stable patient who needs one resource
2. BA stable patient who needs no resources
3. CA high-risk situation, new confusion, or severe pain or distress
4. DA patient who needs an immediate life-saving intervention to survive

A patient on a continuous IV heparin infusion has new black, tarry stools and an aPTT well above the target range. What should the nurse do first?

1. AGive a dose of vitamin K by mouth
2. BStop the heparin infusion and inform the provider
3. CCheck the pump rate and leave the infusion running
4. DOffer an iron-rich meal to replace the lost blood

Помічник з догляду повідомляє, що артеріальний тиск пацієнта 168/98 mmHg (раніше було 130/80), і в пацієнта головний біль. Що має зробити дипломована медсестра?

1. AПопросити помічника дати антигіпертензивний засіб за потреби зараз
2. BЗадокументувати значення й продовжити роздачу ліків
3. CОцінити пацієнта, повторно виміряти артеріальний тиск і пошукати симптоми
4. DПопросити помічника повторно виміряти тиск за годину

A nurse teaches foot care to a patient with diabetes. Which statement shows a need for further teaching?

1. A“I will dry well between my toes after washing.”
2. B“I will check the soles of my feet every day with a mirror.”
3. C“I will wear shoes that fit well, even at home.”
4. D“I will soak my feet in hot water every evening.”

A patient has a potassium of 7,0 mEq/L with peaked T waves. Several drugs are prescribed. Which one is usually given first to protect the heart?

1. AOral sodium bicarbonate
2. BIV furosemide
3. CIV calcium gluconate
4. DOral potassium binder

An older patient has bruises of different ages and seems frightened when a relative visits. What is the nurse’s priority?

1. AAsk the relative directly in front of the patient whether they hit her
2. BEnsure the patient’s safety, document the findings and report as required
3. CTell the patient she must leave home and go to live somewhere else
4. DIgnore it, because older people bruise easily