Užduočių lapas tema Prioritetų nustatymas ir delegavimas su atsakymais

When is the Apgar score usually assessed?

1. AAt the first postnatal clinic visit
2. BBefore the baby is born
3. CAt 1 and 5 minutes after birth
4. DOnly at 24 hours after birth

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

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

Which task should the registered nurse not delegate to a nursing assistant?

1. AGiving a bed bath to a stable patient
2. BEvaluating whether the patient understood discharge teaching
3. CWalking a stable patient up and down the corridor after lunch
4. DMaking an occupied bed

Pamainos vadovui reikia atlaisvinti lovą. Kuris pacientas tinkamiausias išrašyti ar perkelti į žemesnio lygio priežiūrą?

1. APneumonija, deguonies poreikis per naktį išaugo nuo 2 iki 4 L/min
2. B1 diena po žarnyno operacijos su nauja 38,5 °C temperatūra
3. CPaguldytas prieš dvi valandas dėl krūtinės skausmo; troponino rezultatas dar nežinomas
4. D3 diena po nesudėtingos apendektomijos, valgo, vartoja geriamuosius nuskausminamuosius

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

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

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

A severely malnourished patient started nutrition two days ago and now has weakness and confusion. Which laboratory result should the nurse check first?

1. ASerum amylase
2. BSerum phosphate
3. CThyroid hormone
4. DSerum cholesterol

A patient with suspected sepsis has four prescribed orders. Which should usually be done first?

1. ATake blood cultures
2. BArrange a chest X-ray for later today
3. CGive the IV antibiotic
4. DRepeat the lactate in six hours