Užduočių lapas tema Prioritetų nustatymas ir delegavimas su atsakymais

Which symptoms are classic signs of digoxin toxicity?

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

In the United States, which law sets out the scope of nursing practice in each state?

1. AThe hospital’s visitor policy
2. BThe state Nurse Practice Act
3. CThe Food and Drug Administration rules
4. DThe federal tax code

Which protective equipment is needed for airborne precautions?

1. AA fit-tested N95 or FFP3 respirator
2. BA simple surgical mask worn loosely
3. CGloves only
4. DA plastic apron only

A patient has a nasogastric tube on suction. Which task can the nurse delegate to a nursing assistant?

1. AGiving mouth care
2. BIrrigating the tube when it blocks
3. CAssessing the drainage for blood
4. DChecking the tube’s position

After a hip replacement using a posterior approach, which statement shows a need for further teaching?

1. A“I will use a raised toilet seat at home.”
2. B“I will cross my legs when I sit, so I am more comfortable.”
3. C“I will keep a pillow between my knees when I lie on my side in bed.”
4. D“I will not bend my hip past 90 degrees.”

Atliekant START triažą, nevaikštantis suaugusysis kvėpuoja 22 kartus per minutę, turi stipininės arterijos pulsą ir vykdo paprastus nurodymus, bet turi akivaizdų kojos lūžį. Kokia kategorija jam suteikiama?

1. AGeltona (atidėtina)
2. BRaudona (neatidėliotina)
3. CJuoda (tikėtina mirtis)
4. DŽalia (lengva)

An older patient with heart failure is receiving a second unit of blood. She becomes breathless, with crackles in both lungs and a rising blood pressure. What is most likely happening?

1. AAn expected effect of the first unit
2. BHypoglycemia caused by the stored blood product
3. CA mild allergic reaction with hives
4. DTransfusion-associated circulatory overload

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

1. ASuteikti nuskausminimą
2. BIšvalyti ir sutvarstyti veido nudegimus
3. CApsaugoti kvėpavimo takus, ruoštis ankstyvai kvėpavimo takų pagalbai
4. DPradėti skysčių gaivinimą į veną pagal nudegimo dydį