Užduočių lapas tema Prioritetų nustatymas ir delegavimas su atsakymais

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Vardas: ____________________   Data: ____________

1.Lengvas

For a patient who does not take an anticoagulant, which INR is normal?

  1. A6,0
  2. B2,5
  3. C1,0
  4. D4,0
2.Lengvas

Which type of stroke is the most common?

  1. ASubarachnoid hemorrhage
  2. BHemorrhagic stroke
  3. CIschemic stroke
  4. DVenous sinus thrombosis
3.Lengvas

What does the START in START triage stand for?

  1. AStandard Treatment And Referral Tool
  2. BSimple Triage And Rapid Treatment
  3. CStaged Triage And Resuscitation Team
  4. DSystematic Transfer And Rapid Transport
4.Vidutinis

Which patient on an addiction unit should the nurse see first?

  1. ALast drink two days ago; now shaking, sweating, heart rate 124/min and seeing insects
  2. BIn recovery for a year; came to the clinic today for a routine check and a repeat prescription
  3. CLast drink one week ago; asking about support groups
  4. DLast drink this morning; asking when lunch will arrive
5.Vidutinis

A nasogastric tube has just been placed for feeding. What must happen before the first feed is given?

  1. APlacement is confirmed by an approved method
  2. BThe patient is asked if the tube feels comfortable
  3. CThe feed is started slowly to see if the patient coughs
  4. DThe tube is flushed with a large volume of water
6.Vidutinis

On day 3 after hip surgery, a patient suddenly becomes short of breath with sharp chest pain and an SpO₂ of 88%. What should the nurse do first?

  1. AMassage the patient’s calves to ease any muscle cramp
  2. BRaise the head of the bed, give oxygen and call for urgent help
  3. CEncourage the patient to walk to improve the circulation
  4. DGive the next dose of oral analgesia and reassess the patient in an hour
7.Sunkus

A child is admitted with a suspected Wilms tumor (nephroblastoma). Which instruction is most important for all staff?

  1. AGive a warm bath with abdominal massage
  2. BDo not palpate the abdomen
  3. CEncourage the child to play contact sports
  4. DMeasure abdominal girth by pressing firmly
8.Sunkus

A patient on peritoneal dialysis has cloudy fluid draining out and abdominal pain. What does this most likely mean?

  1. AToo much fluid left in the abdomen after the drain
  2. BPeritonitis, which needs prompt reporting and a fluid sample
  3. CConstipation that will settle with a laxative later today or tomorrow
  4. DA normal finding at the end of each exchange

Atsakymai

  1. 1. C · 1,0
  2. 2. C · Ischemic stroke
  3. 3. B · Simple Triage And Rapid Treatment
  4. 4. A · Last drink two days ago; now shaking, sweating, heart rate 124/min and seeing insects
  5. 5. A · Placement is confirmed by an approved method
  6. 6. B · Raise the head of the bed, give oxygen and call for urgent help
  7. 7. B · Do not palpate the abdomen
  8. 8. B · Peritonitis, which needs prompt reporting and a fluid sample

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