Užduočių lapas tema Prioritetų nustatymas ir delegavimas su atsakymais

Which laboratory finding is expected in a patient with chronic kidney disease who receives dialysis?

1. AA raised serum creatinine
2. BA platelet count of 900,000/mm³
3. CA serum sodium of 160 mEq/L
4. DA low serum creatinine

What does a “STAT” order mean?

1. ACarry it out at the next routine round
2. BCarry it out only if the patient asks for it
3. CCarry it out within the next 24 hours
4. DCarry it out immediately

Which symptoms are classic signs of digoxin toxicity?

1. ANausea, poor appetite and yellow-green visual halos
2. BHair loss and weight gain
3. CHigh blood sugar and increased thirst
4. DA rash, high fever and swollen lymph nodes in the neck

A nurse teaches a patient to use an incentive spirometer. Which statement shows a need for further teaching?

1. A“I will blow into it as hard and fast as I can.”
2. B“I will use it several times every hour while awake.”
3. C“I will try to hold my breath for a few seconds at the top.”
4. D“I will breathe in slowly and deeply through the mouthpiece.”

A conscious patient with hypoglycemia drank juice 15 minutes ago. The glucose is now 62 mg/dL (3,4 mmol/L). What should the nurse do next?

1. AGive another serving of fast-acting carbohydrate and recheck in 15 minutes
2. BWait another hour, because juice can take a long time to work
3. CRecord the result and recheck the glucose at the usual time before the evening meal
4. DGive the next scheduled dose of rapid-acting insulin with the meal

Kurį pacientą slaugytojas turėtų pamatyti pirmiausia po pamainos perdavimo?

1. APacientą, kuris nori pagalbos nusiprausti po dušu prieš ateinant lankytojams
2. BPacientą, vartojantį diuretiką, kuris nuo 08:00 išskyrė 400 mL šlapimo
3. CPacientą su nauju gipsu, kuris sako, kad pėda nutirpusi ir pirštai šalti
4. DPacientą, sergantį osteoartritu, skundžiantį kasryt jaučiamą sąstingį

On a cardiac step-down unit, which patient should the nurse assess first?

1. AHeart failure, weight up 0,5 kg since yesterday, no breathlessness at rest
2. BSix hours after a coronary stent, new chest pain with ST elevation on the monitor
3. CDay 2 after a pacemaker insertion, asking when the wound dressing will be changed
4. DAtrial fibrillation on warfarin with an INR of 2,6 this morning

Iš namų gaisro išgelbėtas pacientas turi veido nudegimus, apdegusius nosies plaukelius ir užkimusį balsą. Kas prioritetas?

1. AApsaugoti kvėpavimo takus, ruoštis ankstyvai kvėpavimo takų pagalbai
2. BSuteikti nuskausminimą
3. CPradėti skysčių gaivinimą į veną pagal nudegimo dydį
4. DIšvalyti ir sutvarstyti veido nudegimus