Робочий аркуш «Пріоритезація та делегування» з відповідями

Where is intramuscular epinephrine usually injected for anaphylaxis?

1. AThe abdomen under the skin
2. BA vein in the hand
3. CThe buttock
4. DThe outer middle thigh

Which value is the usual target INR for a patient taking warfarin for atrial fibrillation?

1. A6,0–7,0
2. B0,5–1,0
3. C4,0–5,0
4. D2,0–3,0

Коли питання про пріоритети запитує, що робити «спершу», чого воно вимагає?

1. AДію, що потребує найбільше часу
2. BКрок, який передує іншим, навіть якщо всі правильні
3. CДію, яку медсестри виконують найчастіше за типову зміну
4. DЄдиний правильний варіант; решта хибні

A conscious patient with hypoglycemia drank juice 15 minutes ago. The glucose is now 62 mg/dL (3,4 mmol/L). What should the nurse do next?

1. AWait another hour, because juice can take a long time to work
2. BGive another serving of fast-acting carbohydrate and recheck in 15 minutes
3. CGive the next scheduled dose of rapid-acting insulin with the meal
4. DRecord the result and recheck the glucose at the usual time before the evening meal

A nurse has given rapid-acting insulin, and then learns that the patient’s meal tray will be 45 minutes late. What should the nurse do?

1. AGive a second, smaller dose of insulin when the meal tray finally arrives
2. BAsk the patient to walk around the ward until the food arrives
3. CTell the patient to wait and do nothing until the tray comes
4. DGet the patient some carbohydrate food now and check the glucose

A patient’s chest tube becomes disconnected from the drainage system. What should the nurse do first?

1. ARemove the tube and cover the site
2. BWait for the provider to arrive before doing anything else
3. CClamp the tube for the rest of the shift
4. DPlace the end of the tube in a bottle of sterile water

An infant with pyloric stenosis has repeated projectile vomiting. Which acid-base imbalance is most likely?

1. ARespiratory acidosis
2. BMetabolic acidosis
3. CRespiratory alkalosis
4. DMetabolic alkalosis

An infant is choking and cannot cry or breathe. Which technique is correct?

1. AA blind finger sweep of the mouth
2. BAbdominal thrusts, as in adults
3. CBack blows and chest thrusts
4. DHolding the infant upside down by the feet