Užduočių lapas tema Prioritetų nustatymas ir delegavimas su atsakymais

Which resting heart rate in an adult is bradycardia?

1. A46/min
2. B88/min
3. C72/min
4. D64/min

A nurse is worried about a patient’s worsening condition, and the provider does not respond to the concern. Following the chain of command, whom does the nurse usually contact next?

1. AThe hospital’s chief executive
2. BThe charge nurse or nursing supervisor
3. CThe pharmacy technician on duty that day
4. DThe patient’s next of kin

Which serum creatinine result suggests reduced kidney function in an adult?

1. A1,0 mg/dL (about 90 µmol/L)
2. B0,8 mg/dL (about 70 µmol/L)
3. C3,5 mg/dL (about 310 µmol/L)
4. D0,7 mg/dL (about 60 µmol/L)

A patient coughs hard after abdominal surgery, and loops of bowel appear through the opened wound. What does the nurse do first?

1. APush the bowel gently back into the abdomen with a gloved hand
2. BCover the wound with sterile dressings moistened with saline
3. CLeave the wound uncovered so the surgeon can see it on arrival
4. DHelp the patient walk to the toilet to relieve abdominal pressure

After a hip replacement, a patient has sudden severe hip pain, and the operated leg looks shorter and turned. What should the nurse suspect?

1. AA urinary tract infection
2. BNormal pain after surgery
3. CDislocation of the new hip
4. DA pressure injury on the heel

A patient on a continuous IV heparin infusion has new black, tarry stools and an aPTT well above the target range. What should the nurse do first?

1. AStop the heparin infusion and inform the provider
2. BOffer an iron-rich meal to replace the lost blood
3. CCheck the pump rate and leave the infusion running
4. DGive a dose of vitamin K by mouth

Two patients on the unit have the same surname. What should the nurse do before giving a medication?

1. AAsk a nursing assistant which patient is which
2. BAsk the patient, “Are you Mr Smith?” and give the drug once he says yes
3. CUse the room number as the main identifier
4. DCheck two identifiers against the wristband and the medication record

A nurse sees a colleague put a vial of an opioid into their own pocket instead of returning it. What should the nurse do?

1. AAsk the colleague to share the vial with them
2. BReport it to the nurse manager according to policy
3. CTell the patients to watch the colleague carefully
4. DSay nothing, because it is not their business