Робочий аркуш «Пріоритезація та делегування» з відповідями

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 pulse of 42/min in a patient whose usual pulse is 76/min
4. DA patient whose weight is unchanged from yesterday

Which finding is one of the quick SOFA (qSOFA) criteria for possible sepsis?

1. AHeart rate below 60/min
2. BTemperature below 36,5 °C on one reading
3. CBlood glucose above 100 mg/dL
4. DRespiratory rate of 22/min or more

What is the normal baseline fetal heart rate?

1. A160–220/min
2. B60–100/min
3. C110–160/min
4. D40–60/min

Which patient is at the highest risk of falling?

1. AA 45-year-old with asthma who is alert and independent
2. BA 60-year-old admitted for chest pain that has since been ruled out by tests
3. CA 30-year-old after an appendectomy who walks with steady steps
4. DAn 84-year-old taking a diuretic who has fallen before and gets up at night

A patient with mild dysphagia after a stroke is eating. Which technique helps make swallowing safer?

1. ASitting upright with the chin tucked down while swallowing
2. BTalking while eating to stay alert
3. CDrinking thin fluids quickly through a straw between bites
4. DLying flat with the head tilted back

Яке твердження показує правильне розуміння підзвітності при делегуванні?

1. A«Помічник з догляду підзвітний за те, чи правильно було делегувати завдання».
2. B«Я залишаюся підзвітною за рішення делегувати та за контроль результату».
3. C«Якщо завдання пішло не так, відповідальний лише помічник».
4. D«Щойно я делегую завдання, воно більше не моя справа».

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. CAsk the family to help the patient drink while sitting upright in a chair at the bedside
4. DCheck that a swallow screen has been done before giving anything by mouth

A charge nurse notices that a nurse smells of alcohol and is slurring words at the start of the shift. What is the priority?

1. ARemove the nurse from patient care and report it according to policy
2. BLet the nurse work, but only with stable patients
3. CAsk the nurse to drink coffee and then start work
4. DWait until the end of the shift and then discuss the concern with the nurse privately