Робочий аркуш «Пріоритезація та делегування» з відповідями

A patient has a Glasgow Coma Scale score of 8. What is the main concern?

1. AThe patient can safely eat and drink without help
2. BThe patient may not be able to protect the airway
3. CThe patient is fully alert and oriented
4. DThe patient only has a mild headache

Which drug is used to reverse the effect of warfarin?

1. AFlumazenil
2. BNaloxone
3. CVitamin K
4. DProtamine sulfate

Яке завдання дипломована медсестра (RN) зазвичай може делегувати допоміжному персоналу без ліцензії (UAP), як-от помічнику з догляду?

1. AПроведення первинної оцінки під час госпіталізації нового пацієнта
2. BВимірювання життєвих показників у стабільного пацієнта
3. CОцінювання реакції пацієнта на знеболювальне
4. DНавчання пацієнта, як вводити новий інсулін

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

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

A nurse teaches a patient who uses crutches. Which statement shows a need for further teaching?

1. A“I will lean on the crutch pads under my arms to rest.”
2. B“I will keep the crutch tips in good condition.”
3. C“I will remove loose rugs from the floor at home.”
4. D“I will take my weight on my hands, not on my armpits.”

A patient with asthma has two inhalers: a corticosteroid and salbutamol (albuterol). Which statement shows a need for further teaching?

1. A“I will carry my salbutamol inhaler with me.”
2. B“I will use my steroid inhaler when I have a sudden attack.”
3. C“I will rinse my mouth after using the steroid inhaler.”
4. D“I will use my steroid inhaler every day, even when I feel well.”

A patient opens their eyes only to pain, uses inappropriate words and withdraws from pain. What is the Glasgow Coma Scale score?

1. A13
2. B7
3. C11
4. D9

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

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