Робочий аркуш «Пріоритезація та делегування» з відповідями

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

1. AReassessment
2. BResponse
3. CRecommendation
4. DResult

Яке загальне правило пріоритетів правильне?

1. AПсихологічна проблема завжди має перевагу над фізичною
2. BПроблема, яку легко виправити, завжди йде першою
3. CЛокальна проблема зазвичай має перевагу над системною
4. DСистемна проблема зазвичай має перевагу над локальною

Does asking a patient directly about suicidal thoughts increase their risk?

1. AOnly when the question is asked in writing
2. BOnly if the patient is over 65 years old
3. CNo; asking directly is safe and helps assess the risk
4. DYes; asking about it may give the patient the idea

Five days after starting heparin, a patient’s platelet count has fallen by more than half. What should the nurse suspect?

1. AAn expected effect that needs no action
2. BIron deficiency anemia
3. CVitamin K deficiency
4. DHeparin-induced thrombocytopenia

A patient receiving an aminoglycoside antibiotic, such as gentamicin, reports ringing in the ears. What should the nurse do?

1. AAdvise the patient to use ear drops
2. BHold the next dose and report it promptly
3. CGive the next dose early to finish the course
4. DReassure the patient that it is a normal effect

An older patient becomes confused over a few hours, with attention that comes and goes. What does this suggest?

1. ANormal aging that needs no action
2. BDelirium, which needs the cause found quickly
3. CA personality change that is permanent and expected
4. DLong-standing dementia that is expected

A patient with diabetic ketoacidosis is about to start an IV insulin infusion. The serum potassium is 3,0 mEq/L. What should the nurse do?

1. AIgnore the result, since potassium is always high in this condition and will correct itself
2. BReport the result before starting, because insulin will push potassium even lower
3. CGive the insulin as a fast bolus to bring the potassium up
4. DStart the insulin at once, because the glucose is the bigger problem

A nurse teaches a patient to inject enoxaparin at home. Which statement shows a need for further teaching?

1. A“I will inject into the fat of my abdomen, away from the navel.”
2. B“I will rub the area after the injection to help it absorb.”
3. C“I will tell my doctor if I notice unusual bruising or bleeding.”
4. D“I will change the injection site each time.”