Užduočių lapas tema Prioritetų nustatymas ir delegavimas su atsakymais

Before giving a medication, how many patient identifiers should the nurse check?

1. AOne, the room number
2. BNone, if the nurse already knows the patient well
3. COne, the bed number
4. DAt least two, such as name and date of birth

Kuris pacientas yra stabiliausias?

1. APacientas, kurio kraujospūdis nukrito nuo 132/80 iki 90/56 mmHg
2. BPacientas su nauju krūtinės skausmu
3. CPacientas, kuris naujai susimaišė
4. DPacientas praėjus dviem dienoms po kelio operacijos, skausmas 3/10, normalūs gyvybiniai rodikliai

Which statement about pulse oximetry is correct?

1. ACold fingers or nail polish can give an inaccurate reading
2. BThe reading is always correct, whatever finger or hand is used
3. CIt measures the carbon dioxide in the blood
4. DIt shows the patient’s blood glucose

Which finding is an early sign of compartment syndrome in a patient with a lower leg fracture?

1. AMild bruising around the fracture site on the second day
2. BPain out of proportion to the injury that worsens when the toes are stretched
3. CA strong pedal pulse with warm, pink toes and pain that settles with analgesia
4. DItching under the cast during the first week after it was applied

Which action helps prevent a catheter-associated urinary tract infection?

1. ALeaving the catheter in place longer than needed
2. BDisconnecting the bag every shift to empty it
3. CRaising the drainage bag above the bladder when walking
4. DKeeping the drainage bag below the level of the bladder

A patient is receiving opioids after surgery. Which finding usually comes before opioid-induced respiratory depression?

1. AIncreased appetite and thirst
2. BA sudden rise in pain scores
3. CIncreasing sleepiness that is hard to rouse
4. DA rise in blood pressure with flushed cheeks

Nuolatinio maitinimo per zondą metu pacientas staiga pradeda kosėti, dusti ir SpO₂ krenta. Koks pirmasis slaugytojo veiksmas?

1. APadidinti maitinimo greitį, kad greičiau baigtųsi
2. BPaguldyti pacientą, kad pailsėtų
3. CSustabdyti maitinimą, pasodinti pacientą tiesiai ir įvertinti kvėpavimą
4. DPraplauti zondą 50 mL vandens ir tęsti maitinimą kaip anksčiau

A patient with known abdominal aortic aneurysm suddenly has severe back pain, a pulsing mass in the abdomen and a falling blood pressure. What should the nurse do?

1. AGive an oral analgesic and reassess the patient in about one hour
2. BPalpate the mass firmly to check its size and spread
3. CCall for emergency help at once and prepare for urgent surgery
4. DEncourage the patient to walk to ease the back pain