Робочий аркуш «Пріоритезація та делегування» з відповідями

How many levels does the Emergency Severity Index have?

1. AThree
2. BSix
3. CFour
4. DFive

In delegation, what does supervision mean?

1. ASigning the delegate’s documentation without checking it
2. BDoing every delegated task yourself to make sure that it is done right
3. CGuidance, follow-up and evaluation of the delegated task by the nurse
4. DLeaving the delegate to finish without any contact

Коли питання про пріоритети запитує, що робити «спершу», чого воно вимагає?

1. AДію, яку медсестри виконують найчастіше за типову зміну
2. BДію, що потребує найбільше часу
3. CЄдиний правильний варіант; решта хибні
4. DКрок, який передує іншим, навіть якщо всі правильні

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

An Rh-negative mother has just given birth to an Rh-positive baby. What does the nurse expect to give the mother?

1. AVitamin K to the mother
2. BA dose of the hepatitis B vaccine instead
3. CRh immunoglobulin within 72 hours
4. DNo treatment is needed

A patient on a nasal cannula at 6 L/min still has a low SpO₂. What should the nurse do?

1. ARecheck the SpO₂ at the next routine set of observations in four hours
2. BTurn the nasal cannula up to 15 L/min
3. CRemove the oxygen to see if the SpO₂ changes
4. DReport it, because a different oxygen device is likely to be needed

A patient is bleeding internally after a fall. Which finding is usually an early sign of hypovolemic shock?

1. AA slow heart rate with warm, dry, flushed skin and a normal blood pressure throughout
2. BRestlessness and a rising heart rate while the blood pressure is still normal
3. CLoss of consciousness with gasping breaths
4. DA very low blood pressure with fixed, dilated pupils

A patient has peripheral arterial disease with a non-healing ulcer on the toe. Which advice about leg position is correct?

1. AKeep the legs level or slightly lowered, not raised
2. BKeep the legs raised above the heart as much as possible
3. CWrap the legs tightly with compression bandages
4. DSit with the legs crossed to improve blood flow