Робочий аркуш «Пріоритезація та делегування» з відповідями

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

1. AResult
2. BReassessment
3. CResponse
4. DRecommendation

У трирівневій системі тріажу який пацієнт є невідкладним?

1. AБіль у грудях з потовиділенням і задишкою
2. BВисип три дні без гарячки
3. CПрохання про повторний рецепт
4. DБіль у животі два дні з нормальними життєвими показниками

Хто в більшості закладів проводить тріаж нових пацієнтів у відділенні невідкладної допомоги?

1. AДипломована медсестра
2. BLPN/LVN без участі дипломованої медсестри
3. CСекретар відділення
4. DПомічник з догляду

A pregnant nurse is on the unit. Which patient should the charge nurse avoid assigning to her?

1. AA patient after a hip replacement
2. BA patient with a sealed radioactive implant for cervical cancer
3. CA patient with type 2 diabetes who needs insulin teaching before discharge
4. DA patient with a fractured wrist

A patient with diabetes is unresponsive and has a blood glucose of 40 mg/dL (2,2 mmol/L). What should the nurse do first?

1. AGive IV dextrose or glucagon as prescribed
2. BPour orange juice into the patient’s mouth
3. CGive the scheduled dose of insulin
4. DWait 15 minutes and recheck the glucose

A patient is in skeletal traction. Which finding needs the nurse to act?

1. AThe patient’s body is in line with the traction
2. BThe weights are hanging freely
3. CThe ropes are in the pulleys
4. DThe weights are resting on the floor

A patient suddenly has severe pain in one leg. The leg is pale and cold with no pedal pulse. What does this suggest?

1. AChronic venous insufficiency that needs elevation
2. BA muscle cramp that will pass with stretching
3. CA deep vein thrombosis that can be treated next week
4. DAcute arterial occlusion, which is an emergency

The charge nurse overhears four instructions from an RN to a nursing assistant. Which one needs to be corrected?

1. A“Check his glucose before lunch and tell me the number straight away.”
2. B“Check his glucose and give the insulin according to the sliding scale.”
3. C“Help him wash and change, and tell me at once if you see any red or broken skin.”
4. D“Walk him to the bathroom and back, and stay with him the whole time.”