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

Which drug is used to reverse the effect of warfarin?

1. AFlumazenil
2. BProtamine sulfate
3. CVitamin K
4. DNaloxone

In SBAR communication, what does the letter R stand for?

1. AReassessment
2. BResult
3. CResponse
4. DRecommendation

A nurse needs to give report on a patient to a colleague. Which information is the most important to include?

1. APersonal opinions about the patient’s family members and their visiting habits
2. BThe patient’s favorite television programs and hobbies
3. CThe patient’s current condition, recent changes and pending tasks
4. DDetails of the nurse’s own break times that shift

A patient taking warfarin has an INR of 5,2 and no signs of bleeding. What should the nurse do?

1. AGive the usual dose and recheck the INR next month
2. BEncourage the patient to take aspirin for pain
3. CGive a double dose to correct the result
4. DHold the warfarin dose and inform the provider

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

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

A patient has a chest drain for a pneumothorax. The nurse sees constant bubbling in the water-seal chamber. What does this most likely mean?

1. AThe drain is working normally and no action is needed
2. BAn air leak in the patient or the system that needs checking
3. CThe suction is set too low and needs to be turned up
4. DThe lung has fully re-expanded, so the drain is ready to come out

A nurse returns to the station to find four messages. Which one is answered first?

1. AThe pharmacy asks when the next delivery should be scheduled
2. BA colleague asks to swap shifts with them next week because of a family wedding
3. CThe laboratory is calling with a critical potassium result of 2,6 mEq/L
4. DA family member wants an update on their father’s progress