Робочий аркуш «Пріоритезація та делегування» з відповідями

Коли питання про пріоритети пропонує і оцінювання, і дію, що зазвичай правильно робити першим, якщо ситуація не невідкладна?

1. AЗадокументувати занепокоєння в карті
2. BПопросити помічника з догляду піти перевірити пацієнта
3. CЗателефонувати лікареві, не побачивши пацієнта
4. DОцінити пацієнта для збору додаткової інформації

Which blood pressure in an adult suggests hypotension?

1. A82/48 mmHg
2. B110/70 mmHg
3. C118/76 mmHg
4. D126/82 mmHg

What is status epilepticus?

1. AA seizure that happens only during sleep
2. BA faint caused by standing up too quickly
3. CA seizure lasting 5 minutes or more, or repeated seizures without recovery
4. DA single short seizure that stops on its own within a minute or two

A patient with schizophrenia says voices are telling him to hurt his roommate. What is the priority?

1. AKeep everyone safe and tell the team, as the risk of harm is high
2. BTell him the voices are not real and leave him alone
3. CAsk the roommate to stay in the room with him and help calm him down
4. DIgnore the comment, because voices are part of his illness

A patient on a medical unit tells the nurse he has a plan to end his life and has saved tablets at home. What is the priority action?

1. AAsk him to promise he will not harm himself
2. BEnsure constant observation and remove anything he could use to harm himself
3. CReassure him that things usually look better in the morning after some sleep
4. DArrange a psychiatry appointment for next week

Two nursing assistants argue loudly at the station about their assignments. What is the charge nurse’s best first step?

1. AChange both of their assignments without any discussion
2. BMeet both of them privately to hear each side
3. CIgnore it and hope they sort it out
4. DReport them to human resources at once

A marathon runner is confused, with a temperature of 41 °C and hot skin. What is the priority?

1. AAsking the runner to rest in the shade and drink slowly
2. BGiving an antipyretic tablet and waiting for it to work
3. CRapid cooling while supporting airway and circulation
4. DWrapping the runner in a blanket to prevent shivering

Four laboratory results come back at once. Which one should the nurse report first?

1. AHemoglobin 6,5 g/dL (65 g/L) in a patient with a GI bleed
2. BCreatinine 1,3 mg/dL in an older adult, unchanged from last week
3. CGlucose 180 mg/dL after a meal in a patient with diabetes
4. DPotassium 3,4 mEq/L in a patient on a diuretic