Užduočių lapas tema Prioritetų nustatymas ir delegavimas su atsakymais

Nemokamas spausdinamas užduočių lapas tema Prioritetų nustatymas ir delegavimas: 8 uždavinių nuo lengvų iki egzamino lygio, su atsakymais. Atsispausdinkite arba išsaugokite kaip PDF.

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Vardas: ____________________   Data: ____________

1.Lengvas

What is a transient ischemic attack (TIA)?

  1. AA stroke that leaves permanent weakness or paralysis on one side of the body
  2. BA heart attack that affects the brain
  3. CBrief stroke-like symptoms that resolve, warning of a possible stroke
  4. DA type of migraine with no link to stroke
2.Lengvas

An adult without lung disease is breathing room air. Which SpO₂ reading needs action?

  1. A97%
  2. B96%
  3. C99%
  4. D89%
3.Lengvas

Which platelet count is within the normal adult range?

  1. A90,000/mm³ (90 × 10⁹/L)
  2. B40,000/mm³ (40 × 10⁹/L)
  3. C700,000/mm³ (700 × 10⁹/L)
  4. D250,000/mm³ (250 × 10⁹/L)
4.Vidutinis

A patient’s peripheral IV site is swollen, pale and cool, and the infusion has slowed. What should the nurse do first?

  1. AIncrease the infusion rate to overcome the resistance
  2. BStop the infusion and remove the cannula
  3. CFlush the cannula hard to clear the blockage
  4. DApply a tight bandage over the site to reduce swelling
5.Vidutinis

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

A patient has a blood pressure of 210/120 mmHg. Which finding would make this a hypertensive emergency?

  1. AA history of high blood pressure for ten years
  2. BForgetting to take the blood pressure tablet this morning
  3. CNew chest pain or confusion suggesting organ damage
  4. DMild anxiety about the high reading on the monitor
7.Sunkus

A patient has a wrist restraint. The nurse finds the fingers on that hand pale, cool and tingling. What should the nurse do first?

  1. ATighten the restraint so the patient moves less
  2. BLoosen the restraint and assess the circulation
  3. CDocument the finding and continue with the medication round
  4. DRaise the arm on a pillow and check again in two hours
8.Sunkus

A marathon runner is confused, with a temperature of 41 °C and hot skin. What is the priority?

  1. ARapid cooling while supporting airway and circulation
  2. BWrapping the runner in a blanket to prevent shivering
  3. CGiving an antipyretic tablet and waiting for it to work
  4. DAsking the runner to rest in the shade and drink slowly

Atsakymai

  1. 1. C · Brief stroke-like symptoms that resolve, warning of a possible stroke
  2. 2. D · 89%
  3. 3. D · 250,000/mm³ (250 × 10⁹/L)
  4. 4. B · Stop the infusion and remove the cannula
  5. 5. B · Encourage deep breathing, coughing and use of the incentive spirometer
  6. 6. C · New chest pain or confusion suggesting organ damage
  7. 7. B · Loosen the restraint and assess the circulation
  8. 8. A · Rapid cooling while supporting airway and circulation

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