Užduočių lapas tema Prioritetų nustatymas ir delegavimas su atsakymais

When a charge nurse makes patient assignments, what does a patient’s “acuity” mean?

1. AHow ill the patient is and how much nursing care they need
2. BHow far the patient’s room is from the nurses’ station
3. CHow long the patient has been in the hospital since admission
4. DHow many visitors the patient is expected to have

Which serum potassium result should the nurse report to the provider promptly?

1. A3,8 mEq/L (3,8 mmol/L)
2. B6,4 mEq/L (6,4 mmol/L)
3. C4,9 mEq/L (4,9 mmol/L)
4. D4,2 mEq/L (4,2 mmol/L)

Kurią užduotį registruotasis slaugytojas turėtų pasilikti sau, o ne deleguoti nelicencijuotam pagalbiniam personalui?

1. ANaujai priimto paciento pradinį vertinimą
2. BIšgerto ir išskirto skysčių kiekio matavimą ir užrašymą
3. CStabilaus paciento prausimą
4. DStabiliam pacientui padėti nueiti į tualetą ir atgal

A patient taking clozapine reports a sore throat and fever. What is the priority action?

1. AOffer throat lozenges and continue the usual dose
2. BIncrease the dose because the symptoms suggest a relapse
3. CHold the dose and report so the white cell count can be checked
4. DAdvise the patient to gargle with warm salt water and rest in bed

Which postoperative patient should the nurse see first?

1. AWants help with washing her hair before her visitors arrive this afternoon
2. BPain of 4/10 one hour after an oral analgesic
3. CDressing soaked with bright red blood and a heart rate rising to 118/min
4. DAsking when the urinary catheter will be removed

A nursing assistant offers to suction a patient’s new tracheostomy. Which response from the RN is best?

1. A“Suctioning a new tracheostomy is my task; I will do it myself.”
2. B“Leave the suctioning until the next shift arrives.”
3. C“Thank you, please suction him as needed and tell me how it went.”
4. D“Ask the patient’s family to do the suctioning today.”

At the end of a shift, the nurse’s relief has not arrived and the patients are acutely ill. What should the nurse do?

1. AAsk a nursing assistant to watch the patients until someone comes
2. BLeave on time, because the shift has officially ended
3. CLeave a written note at the station and go home
4. DStay and tell the charge nurse, and hand over before leaving

A patient at 34 weeks of pregnancy has painless, bright red vaginal bleeding. Which action should the nurse avoid?

1. AMonitoring the fetal heart rate
2. BA vaginal examination
3. CMeasuring the blood pressure and pulse
4. DWeighing the pads to estimate blood loss