Phiếu bài tập Ưu tiên và ủy thác công việc có đáp án

Which task is appropriate to delegate to a nursing assistant for an immobile but stable patient?

1. ATurning and repositioning the patient every 2 hours
2. BDeciding whether a pressure injury has got worse since yesterday
3. CPlanning the patient’s skin care
4. DChoosing which wound dressing to use

A conscious adult with hypoglycemia can swallow safely. What should the nurse give first?

1. AA fast-acting carbohydrate by mouth, such as glucose tablets or juice
2. BThe next dose of insulin
3. CIV glucose through a new cannula as the first choice for every patient
4. DA large protein meal

In delegation, what does supervision mean?

1. ADoing every delegated task yourself to make sure that it is done right
2. BSigning the delegate’s documentation without checking it
3. CGuidance, follow-up and evaluation of the delegated task by the nurse
4. DLeaving the delegate to finish without any contact

A patient is receiving a blood transfusion. Which task can the nurse delegate to a nursing assistant?

1. AAssessing the patient for signs of a transfusion reaction
2. BMeasuring and reporting vital signs at the times set by the nurse
3. CDeciding whether to stop the transfusion if the patient has chills
4. DStarting the transfusion once the blood arrives

On the first day after abdominal surgery, a patient has a temperature of 37,9 °C and reduced breath sounds at the lung bases. Which nursing action is most helpful?

1. AEncourage deep breathing, coughing and use of the incentive spirometer
2. BKeep the patient lying flat in bed to rest the incision fully
3. CRestrict oral fluids so that the lungs do not fill up with extra fluid
4. DGive a cough suppressant so that the incision is not strained

An older patient who has been constipated for days now has small amounts of liquid stool leaking. What should the nurse suspect?

1. AFecal impaction with liquid stool passing around it
2. BA side effect of drinking too much water
3. CA new bowel infection that has caused the diarrhea
4. DThe constipation has fully resolved

A child who had a tonsillectomy this morning is swallowing again and again while asleep. What should the nurse suspect?

1. AHunger after fasting for surgery
2. BBleeding from the operation site
3. CA sore throat from the breathing tube
4. DNormal swallowing during sleep

After a head injury, a patient has clear fluid dripping from the nose. Which action should the nurse avoid?

1. APlacing a loose gauze under the nose
2. BInforming the provider about the drainage
3. CInserting a tube or suction catheter through the nose
4. DChecking the fluid for glucose or a halo sign on gauze