Робочий аркуш «Пріоритезація та делегування» з відповідями

Which single action is the most effective way to prevent the spread of infection in hospital?

1. AWearing a mask all day
2. BKeeping the windows closed
3. CHand hygiene
4. DGiving every patient antibiotics

Що в делегуванні означають «правильні вказівки та комунікація»?

1. AСказати виконавцеві покладатися на власне судження
2. BПопросити виконавця повідомити про будь-які незвичні знахідки наприкінці зміни
3. CЧіткі, конкретні інструкції: що робити, коли і про що доповісти
4. DЗаписати завдання лише в карту пацієнта

For a patient with a suspected heart attack and no contraindications, which drug is usually given early?

1. AIbuprofen
2. BCodeine
3. CAspirin, chewed
4. DAcetaminophen (paracetamol)

On the first day after abdominal surgery, a patient has a temperature of 37,9 °C and reduced breath sounds at the lung bases. Which nursing action is most helpful?

1. AKeep the patient lying flat in bed to rest the incision fully
2. BGive a cough suppressant so that the incision is not strained
3. CEncourage deep breathing, coughing and use of the incentive spirometer
4. DRestrict oral fluids so that the lungs do not fill up with extra fluid

A patient with a valid do-not-resuscitate order (DNR; called DNACPR in the UK) stops breathing and has no pulse. What should the nurse do?

1. ACall the cardiac arrest team and let them decide
2. BStart CPR and stop when the family arrives
3. CFollow the DNR order and do not start CPR
4. DStart chest compressions but not rescue breaths

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

An older patient with heart failure is receiving a second unit of blood. She becomes breathless, with crackles in both lungs and a rising blood pressure. What is most likely happening?

1. AAn expected effect of the first unit
2. BHypoglycemia caused by the stored blood product
3. CTransfusion-associated circulatory overload
4. DA mild allergic reaction with hives

A nurse must care for a patient with a radioactive implant. Which approach best limits the nurse’s exposure?

1. ALimit time in the room, keep as far away as possible and use shielding
2. BSpend longer in the room each time but visit less often during the shift
3. CStand close to the patient to finish care faster
4. DWear a surgical mask to block the radiation