Užduočių lapas tema Prioritetų nustatymas ir delegavimas su atsakymais

Which patient need belongs to the love and belonging level of Maslow’s hierarchy?

1. ANeeding pain relief after surgery
2. BWanting family members to visit
3. CNeeding the call light within reach
4. DWanting praise for progress in rehabilitation

Which pain scale is designed for infants and young children who cannot describe their pain?

1. AThe Braden Scale
2. BThe Glasgow Coma Scale
3. CThe FLACC scale
4. DThe Morse Fall Scale

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 would like tea instead of coffee
3. CA patient whose weight is unchanged from yesterday
4. DA patient who wants to shower in the evening

Which newborn finding needs prompt reporting?

1. AJaundice that appears within the first 24 hours
2. BBluish hands and feet in the first hours
3. CMild jaundice that first appears on the third day
4. DMilia (small white spots) on the nose

A patient with a valid do-not-resuscitate order (DNR; called DNACPR in the UK) stops breathing and has no pulse. What should the nurse do?

1. ACall the cardiac arrest team and let them decide
2. BStart chest compressions but not rescue breaths
3. CStart CPR and stop when the family arrives
4. DFollow the DNR order and do not start CPR

A parent of a child with influenza talks with the nurse. Which statement shows a need for further teaching?

1. A“I will give my child plenty of fluids.”
2. B“I will call if my child has trouble breathing.”
3. C“I will keep my child home from school and away from others while unwell.”
4. D“I will give my child aspirin to bring the fever down.”

Pacientas su nauja tracheostoma kosėja, triukšmingai kvėpuoja, o SpO₂ nukrito iki 86 %. Koks pirmas veiksmas?

1. AUžrašyti SpO₂ ir iš naujo patikrinti po 30 minučių
2. BPakeisti tracheostomos raištelius
3. CAtsiurbti tracheostomą
4. DDuoti purškiamo bronchus plečiančio vaisto

A nurse has a needlestick injury from a used needle. What should the nurse do first?

1. ASqueeze the wound hard and suck it
2. BFinish the shift and report it tomorrow
3. CWash the area with soap and water
4. DScrub the area with bleach