Робочий аркуш «Пріоритезація та делегування» з відповідями

What is a “near miss” in patient safety?

1. AA complaint from a visitor
2. BAn error that reached the patient and caused serious harm
3. CA planned treatment that did not work
4. DAn error that was caught before it reached the patient

Which three things does START triage check in a non-walking adult?

1. APain score, mobility and age
2. BRespirations, perfusion and mental status
3. CAirway, blood glucose and pupils
4. DPulse, blood pressure and body temperature

What does a raised troponin level usually show?

1. ADamage to heart muscle
2. BA urinary tract infection
3. CDamage to the liver
4. DLow blood sugar

During a blood transfusion, a patient develops chills, back pain and a fever. What is the nurse’s first action?

1. ASlow the transfusion and recheck in an hour
2. BFinish the unit quickly through a pressure bag so that the reaction does not last long
3. CGive an antipyretic and continue the transfusion
4. DStop the transfusion and keep the IV open with normal saline via new tubing

A patient with severe neutropenia needs a room. Which roommate is the safest choice?

1. AA patient with an infected, draining leg wound
2. BA patient after a knee replacement with no signs of infection
3. CA patient with influenza
4. DA patient with C. difficile diarrhea

Пацієнт питає помічника з догляду про побічні ефекти нових ліків. Що має зробити помічник?

1. AПошукати препарат в інтернеті й зачитати, що там написано
2. BПояснити побічні ефекти, наведені в інструкції для пацієнта
3. CЗаспокоїти пацієнта, що побічні ефекти рідкісні
4. DСказати, що прийде медсестра відповісти, і повідомити медсестру

On a cardiac step-down unit, which patient should the nurse assess first?

1. AHeart failure, weight up 0,5 kg since yesterday, no breathlessness at rest
2. BSix hours after a coronary stent, new chest pain with ST elevation on the monitor
3. CAtrial fibrillation on warfarin with an INR of 2,6 this morning
4. DDay 2 after a pacemaker insertion, asking when the wound dressing will be changed

A patient has a chest drain for a pneumothorax. The nurse sees constant bubbling in the water-seal chamber. What does this most likely mean?

1. AThe drain is working normally and no action is needed
2. BAn air leak in the patient or the system that needs checking
3. CThe lung has fully re-expanded, so the drain is ready to come out
4. DThe suction is set too low and needs to be turned up