Робочий аркуш «Пріоритезація та делегування» з відповідями

To which patients do standard precautions apply?

1. AOnly patients with an open wound
2. BOnly patients with a confirmed infection on a lab test
3. CAll patients, whether or not an infection is known
4. DOnly patients in intensive care

Which laboratory finding is expected in a patient with chronic kidney disease who receives dialysis?

1. AA low serum creatinine
2. BA platelet count of 900,000/mm³
3. CA serum sodium of 160 mEq/L
4. DA raised serum creatinine

Which symptoms are classic signs of digoxin toxicity?

1. AA rash, high fever and swollen lymph nodes in the neck
2. BHigh blood sugar and increased thirst
3. CHair loss and weight gain
4. DNausea, poor appetite and yellow-green visual halos

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

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

A patient speaks little English, and the nurse needs to explain a new procedure. What is the best way to communicate?

1. AAsk the patient’s 10-year-old child to translate
2. BSpeak loudly and slowly in English
3. CUse a professional medical interpreter
4. DUse hand gestures and hope the patient understands

During an IV vancomycin infusion, a patient develops flushing and itching of the face and neck. What should the nurse do first?

1. ASpeed up the infusion to finish it quickly
2. BIgnore it, because flushing is always harmless and passes
3. CStop or slow the infusion and inform the provider
4. DApply a warm compress to the face and neck

An adult choking on food is coughing forcefully and can speak a little. What should the nurse do?

1. ASweep the mouth blindly with a finger
2. BGive abdominal thrusts straight away until the food comes out
3. CGive the patient water to wash the food down
4. DEncourage the patient to keep coughing and stay with them

У хірургічному відділенні якого післяопераційного пацієнта медсестра має оглянути першим?

1. A6 годин після каротидної ендартеректомії: набряк шиї наростає, каже, що важко ковтати
2. B2 доби після ендопротезування кульшового суглоба: біль 5 з 10 при русі, знеболювальне дано 1 годину тому
3. C2 доби після формування колостоми: стома волога й рожева, невелика кількість виділень
4. DПісля операції на передміхуровій залозі з промиванням сечового міхура: світло-рожева сеча, без згустків