Робочий аркуш «Пріоритезація та делегування» з відповідями

Which task should the registered nurse not delegate to a nursing assistant?

1. AEvaluating whether the patient understood discharge teaching
2. BMaking an occupied bed
3. CGiving a bed bath to a stable patient
4. DWalking a stable patient up and down the corridor after lunch

What does the Morse Fall Scale measure?

1. AA patient’s nutrition status
2. BA patient’s risk of falling
3. CA patient’s pain level
4. DA patient’s skin integrity

У тріажі при масових ураженнях що зазвичай означає червона бирка?

1. AОчікування: навряд чи виживе навіть за допомоги, або вже мертва
2. BВідкладено: серйозні травми, але наразі стабільний
3. CНезначні: людина може йти і безпечно зачекати
4. DНегайно: загрозлива для життя, але виживе за швидкої допомоги

Which finding is an early sign of compartment syndrome in a patient with a lower leg fracture?

1. AMild bruising around the fracture site on the second day
2. BPain out of proportion to the injury that worsens when the toes are stretched
3. CItching under the cast during the first week after it was applied
4. DA strong pedal pulse with warm, pink toes and pain that settles with analgesia

A patient receiving chemotherapy has a temperature of 38,3 °C and a very low neutrophil count. What should the nurse do?

1. AGive a cool shower and offer extra fluids, then wait and see what happens
2. BRecheck the temperature in four hours before telling anyone
3. CDocument the reading and mention it at the next handover
4. DReport it at once, because cultures and antibiotics are needed quickly

On a postpartum unit, which patient is the most appropriate to assign to an LPN/LVN?

1. ADay 1 after an uncomplicated vaginal birth, stable vital signs
2. BOne hour after birth with heavy bleeding and a boggy uterus
3. CSevere pre-eclampsia on a magnesium sulfate infusion
4. DA new admission transferred from the labor ward with a fever of 38,6 °C

A patient with SIADH has a serum sodium of 120 mEq/L and is newly confused. Which nursing action has priority?

1. AHelping the patient to walk in the corridor alone
2. BTeaching the patient about a low-sodium diet at home
3. CEncouraging the patient to drink plenty of water
4. DSeizure precautions and close neurological checks

A child who had a tonsillectomy this morning is swallowing again and again while asleep. What should the nurse suspect?

1. AHunger after fasting for surgery
2. BNormal swallowing during sleep
3. CBleeding from the operation site
4. DA sore throat from the breathing tube