Užduočių lapas tema Prioritetų nustatymas ir delegavimas su atsakymais

In the ABC framework, which finding is mainly a breathing problem?

1. AShallow breaths with an SpO₂ of 85% on room air
2. BA blood glucose of 60 mg/dL (3,3 mmol/L)
3. CStridor caused by a swollen throat
4. DHeart rate 150/min with a low blood pressure and cold skin

Kuris teiginys geriausiai apibūdina delegavimą slaugoje?

1. AAtsisakymas atlikti užduotį, nes ji nepatenka į jūsų paties vaidmenį
2. BVisos atsakomybės ir atskaitingumo už pacientą perdavimas kitam asmeniui
3. CPrašymas gydytojo perimti užduotį, kurios užimtas slaugytojas negali atlikti
4. DKompetentingam asmeniui suteikiami įgaliojimai atlikti pasirinktą užduotį, o slaugytojas lieka atskaitingas

Kuri paciento problema paprastai yra aukščiausio prioriteto?

1. AKvėpavimo takų obstrukcija
2. BŽinių apie vaistus trūkumas
3. CNerimas
4. DŪmus skausmas

An arterial blood gas shows pH 7,28, PaCO₂ 40 mmHg (5,3 kPa) and HCO₃⁻ 16 mEq/L (mmol/L). How should the nurse interpret it?

1. ARespiratory alkalosis
2. BMetabolic alkalosis
3. CRespiratory acidosis
4. DMetabolic acidosis

A nurse teaches a patient who uses home oxygen. Which statement shows a need for further teaching?

1. A“I will not use oil-based creams on my face.”
2. B“I will keep the oxygen away from the gas stove.”
3. C“My husband can smoke in my room if the window is open.”
4. D“I will put up no-smoking signs at the front door and in my room.”

Which patient is most suitable for the nurse to assign to a nurse who has just finished orientation?

1. AA patient with sepsis whose blood pressure is falling
2. BA patient on a continuous heparin infusion with rising aPTT values
3. CA patient with a new tracheostomy who needs frequent suctioning
4. DA patient with stable cellulitis on scheduled IV antibiotics

Which patient needs airborne precautions rather than droplet precautions?

1. AA child with pertussis (whooping cough)
2. BA child with chickenpox (varicella)
3. CA teenager with mumps
4. DAn adult with influenza

Six hours after surgery, a patient has not passed urine, feels the urge to go and has a firm swelling above the pubic bone. What is the most likely problem?

1. ADehydration from fasting before surgery
2. BAcute kidney injury with no urine made
3. CA normal effect of the anesthetic
4. DUrinary retention