Užduočių lapas tema Prioritetų nustatymas ir delegavimas su atsakymais

Which body temperature is a fever in an adult?

1. A36,4 °C
2. B37,1 °C
3. C36,8 °C
4. D38,5 °C

Does asking a patient directly about suicidal thoughts increase their risk?

1. ANo; asking directly is safe and helps assess the risk
2. BOnly when the question is asked in writing
3. CYes; asking about it may give the patient the idea
4. DOnly if the patient is over 65 years old

Kai prioritetų klausime klausiama, ką daryti „pirmiausia", ko klausiama?

1. AVeiksmo, kurį slaugytojai atlieka dažniausiai įprastos pamainos metu
2. BŽingsnio, kuris eina prieš kitus, net jei visi teisingi
3. CVeiksmo, kuriam atlikti reikia daugiausia laiko
4. DVienintelio teisingo varianto; kiti klaidingi

Suaugusysis, valgantis dienos kambaryje, staiga čiumpa gerklę ir negali kalbėti, kvėpuoti ar kosėti. Ką slaugytojas turėtų daryti pirmiausia?

1. ADuoti pacientui stiklinę vandens maistui nuplauti
2. BPasišaukti pagalbos ir atlikti smūgius į nugarą bei pilvo spaudimus
3. CAklai šluoti burną pirštu
4. DPalaukti, ar pacientas iškosės

A pregnant nurse is on the unit. Which patient should the charge nurse avoid assigning to her?

1. AA patient with type 2 diabetes who needs insulin teaching before discharge
2. BA patient with a sealed radioactive implant for cervical cancer
3. CA patient with a fractured wrist
4. DA patient after a hip replacement

A patient taking clozapine reports a sore throat and fever. What is the priority action?

1. AAdvise the patient to gargle with warm salt water and rest in bed
2. BOffer throat lozenges and continue the usual dose
3. CHold the dose and report so the white cell count can be checked
4. DIncrease the dose because the symptoms suggest a relapse

A patient taking an SSRI is also given tramadol. A few hours later the patient is agitated, sweating and has a fever, jerking muscles and brisk reflexes. What is the most likely cause?

1. AOpioid withdrawal
2. BNeuroleptic malignant syndrome
3. CSerotonin syndrome
4. DAn anxiety attack

A patient has peripheral arterial disease with a non-healing ulcer on the toe. Which advice about leg position is correct?

1. AKeep the legs raised above the heart as much as possible
2. BWrap the legs tightly with compression bandages
3. CKeep the legs level or slightly lowered, not raised
4. DSit with the legs crossed to improve blood flow