Užduočių lapas tema Prioritetų nustatymas ir delegavimas su atsakymais

Which patient is unstable?

1. AA patient with long-standing arthritis pain of 3/10
2. BA patient with a new irregular pulse who says they feel dizzy
3. CA patient waiting for a planned hip X-ray
4. DA patient with a healing leg wound and normal vital signs this morning

In US patient-safety terms (The Joint Commission), what is a sentinel event?

1. AAn unexpected event that causes death or serious harm
2. BA minor error that was noticed but caused no harm at all
3. CA planned admission to intensive care
4. DA routine handover between shifts

Which three things does START triage check in a non-walking adult?

1. APain score, mobility and age
2. BAirway, blood glucose and pupils
3. CRespirations, perfusion and mental status
4. DPulse, blood pressure and body temperature

A patient receives hemodialysis this morning. Which type of medication is often held before dialysis, as prescribed?

1. AInhaled bronchodilators
2. BTopical skin creams
3. CAntihypertensive drugs
4. DEye drops for glaucoma

A patient at 35 weeks of pregnancy with high blood pressure calls the clinic. Which symptom needs urgent assessment?

1. AA severe headache with blurred vision
2. BNeeding to pass urine more often
3. CMild ankle swelling at the end of the day
4. DBackache after a long walk

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

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

During birth, the baby’s head delivers but the shoulders do not follow. What should the nurse do first?

1. AHelp with the McRoberts position and give suprapubic pressure as directed
2. BAsk the mother to stop pushing and wait an hour
3. CPush firmly on the top of the uterus (fundal pressure)
4. DPull hard on the baby’s head and neck to free the trapped shoulders quickly

Which patient with cirrhosis should the nurse see first?

1. AWants to talk about stopping drinking alcohol for good
2. BVomiting bright red blood, heart rate 120/min
3. CLong-standing jaundice and itchy skin, asking for cream
4. DLarge ascites that is unchanged from yesterday