Робочий аркуш «Пріоритезація та делегування» з відповідями

Which phrase in a question usually signals a priority question?

1. A“Which term means inflammation of the liver?”
2. B“Which action should the nurse take first?”
3. C“Which bone is found in the forearm?”
4. D“Which statement describes this drug’s class?”

Which serum potassium result should the nurse report to the provider promptly?

1. A3,8 mEq/L (3,8 mmol/L)
2. B4,9 mEq/L (4,9 mmol/L)
3. C4,2 mEq/L (4,2 mmol/L)
4. D6,4 mEq/L (6,4 mmol/L)

What does the Morse Fall Scale measure?

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

Which patient on an addiction unit should the nurse see first?

1. ALast drink one week ago; asking about support groups
2. BLast drink this morning; asking when lunch will arrive
3. CLast drink two days ago; now shaking, sweating, heart rate 124/min and seeing insects
4. DIn recovery for a year; came to the clinic today for a routine check and a repeat prescription

An arterial blood gas shows pH 7,28, PaCO₂ 40 mmHg (5,3 kPa) and HCO₃⁻ 16 mEq/L (mmol/L). How should the nurse interpret it?

1. AMetabolic alkalosis
2. BRespiratory alkalosis
3. CRespiratory acidosis
4. DMetabolic acidosis

У змішаному терапевтичному відділенні якого пацієнта медсестра має оглянути першим?

1. AПацієнта з гіпертензією, чий артеріальний тиск 136/84 mmHg
2. BПацієнта з депресією, який роздав свої речі й має план суїциду
3. CПацієнта з легким головним болем напруги, який просить парацетамол
4. DПацієнта, який просить письмову інформацію про завтрашню виписку

A charge nurse notices that a nurse smells of alcohol and is slurring words at the start of the shift. What is the priority?

1. AWait until the end of the shift and then discuss the concern with the nurse privately
2. BRemove the nurse from patient care and report it according to policy
3. CAsk the nurse to drink coffee and then start work
4. DLet the nurse work, but only with stable patients

A patient receiving comfort-focused end-of-life care is distressed by breathlessness. Which approach is most appropriate?

1. AWithhold all opioids because they may slow breathing
2. BStart a series of aggressive tests to find the exact cause of the breathlessness
3. CLeave the patient alone so they can rest
4. DGive prescribed opioids and use positioning and a fan to relieve breathlessness