Užduočių lapas tema Prioritetų nustatymas ir delegavimas su atsakymais

Which finding is one of the quick SOFA (qSOFA) criteria for possible sepsis?

1. ATemperature below 36,5 °C on one reading
2. BHeart rate below 60/min
3. CBlood glucose above 100 mg/dL
4. DRespiratory rate of 22/min or more

After caring for a patient with Clostridioides difficile diarrhea, how should the nurse clean their hands?

1. AUse alcohol hand rub only
2. BNo hand hygiene is needed if gloves were worn
3. CWipe hands on a clean towel
4. DWash with soap and water

Which patient needs a single room with airborne precautions?

1. AA patient with a fractured femur
2. BA patient with suspected pulmonary tuberculosis
3. CA patient with a urinary tract infection and a catheter
4. DA patient with type 2 diabetes

A nurse teaches a patient with COPD pursed-lip breathing. Which statement shows a need for further teaching?

1. A“I will breathe out slowly through pursed lips.”
2. B“I will breathe in through my mouth and out quickly through my nose.”
3. C“I will make my breath out about twice as long as my breath in.”
4. D“I will breathe in slowly through my nose.”

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. AŽalia (lengva)
2. BRaudona (neatidėliotina)
3. CGeltona (atidėtina)
4. DJuoda (tikėtina mirtis)

Slaugytojas deleguoja gliukozės kraujyje matavimą apmokytam padėjėjui, bet niekada neprašo rezultato. Kokios delegavimo „teisingos" sąlygos trūksta?

1. AUžduočiai tinkamo asmens
2. BTeisingos priežiūros ir vertinimo
3. CTeisingų aplinkybių
4. DAplinkai tinkamos užduoties

A nurse sees a colleague put a vial of an opioid into their own pocket instead of returning it. What should the nurse do?

1. AReport it to the nurse manager according to policy
2. BSay nothing, because it is not their business
3. CAsk the colleague to share the vial with them
4. DTell the patients to watch the colleague carefully

A nurse returns to the station to find four messages. Which one is answered first?

1. AA colleague asks to swap shifts with them next week because of a family wedding
2. BThe laboratory is calling with a critical potassium result of 2,6 mEq/L
3. CThe pharmacy asks when the next delivery should be scheduled
4. DA family member wants an update on their father’s progress