Užduočių lapas tema Prioritetų nustatymas ir delegavimas su atsakymais

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

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

Which finding should a nursing assistant report to the nurse at once?

1. AA pulse of 42/min in a patient whose usual pulse is 76/min
2. BA patient who wants to shower in the evening
3. CA patient whose weight is unchanged from yesterday
4. DA patient who would like tea instead of coffee

In most settings, which task is kept for the RN rather than assigned to an LPN/LVN?

1. AReinforcing teaching already given
2. BMeasuring vital signs
3. CGiving scheduled oral medications
4. DGiving an IV push medication

A patient with type 1 diabetes has vomited since morning and cannot eat. Which action is most important?

1. AStop all insulin until the patient is able to eat normally again
2. BWait until tomorrow to see if the vomiting settles
3. CCheck the blood glucose and ketones and contact the provider
4. DEncourage a large meal to settle the stomach

Atliekant START triažą masinės nelaimės vietoje, auka paprašyta gali nueiti į nurodytą zoną. Kokia kategorija jai suteikiama?

1. AŽalia (lengva)
2. BRaudona (neatidėliotina)
3. CGeltona (atidėtina)
4. DJuoda (tikėtina mirtis)

A patient with severe neutropenia needs a room. Which roommate is the safest choice?

1. AA patient with influenza
2. BA patient with an infected, draining leg wound
3. CA patient after a knee replacement with no signs of infection
4. DA patient with C. difficile diarrhea

After a cervical spinal cord injury, a patient has a blood pressure of 80/50 mmHg, a heart rate of 48/min and warm, dry skin. What is most likely?

1. ACardiac tamponade
2. BHypovolemic shock
3. CSeptic shock
4. DNeurogenic shock

A patient opens their eyes only to pain, uses inappropriate words and withdraws from pain. What is the Glasgow Coma Scale score?

1. A11
2. B13
3. C9
4. D7