Užduočių lapas tema Prioritetų nustatymas ir delegavimas su atsakymais

Which drug reverses the anticoagulant effect of heparin?

1. AVitamin K
2. BAtropine
3. CProtamine sulfate
4. DNaloxone

Which finding is one of the quick SOFA (qSOFA) criteria for possible sepsis?

1. ATemperature below 36,5 °C on one reading
2. BBlood glucose above 100 mg/dL
3. CRespiratory rate of 22/min or more
4. DHeart rate below 60/min

Which statement about pulse oximetry is correct?

1. ACold fingers or nail polish can give an inaccurate reading
2. BThe reading is always correct, whatever finger or hand is used
3. CIt measures the carbon dioxide in the blood
4. DIt shows the patient’s blood glucose

A woman calls to say her husband suddenly has a drooping face and slurred speech. What should the nurse advise?

1. ACall emergency services now and note the time it started
2. BBook an appointment with his doctor next week
3. CLet him lie down and see if it improves
4. DDrive him to the hospital yourself after he has eaten dinner

A patient is raising his voice, pacing and clenching his fists. What should the nurse do first?

1. AApply physical restraints at once
2. BSpeak calmly, keep a safe distance and invite him to talk about what is wrong
3. CStand very close to him and tell him firmly and loudly to sit down and be quiet
4. DTurn away and ignore the behavior

Slaugytojas prašo slaugytojo padėjėjo naudoti mechaninį keltuvą. Padėjėjas sako, kad niekada nebuvo mokytas juo naudotis. Kuri delegavimo „teisinga" sąlyga būtų pažeista, jei slaugytojas primygtų?

1. ATeisinga užduotis
2. BTeisingas asmuo
3. CTeisinga priežiūra ir vertinimas
4. DTeisingi nurodymai ir bendravimas

A patient with raised intracranial pressure is being nursed on the ward. Which position is best?

1. ASitting forward with the chin on the chest
2. BHead down with the legs raised above the heart
3. CHead of the bed at about 30 degrees with the neck straight
4. DFlat on the back with the head turned well over to one side

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

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