Užduočių lapas tema Prioritetų nustatymas ir delegavimas su atsakymais

In SBAR communication, what does the letter R stand for?

1. AReassessment
2. BResponse
3. CResult
4. DRecommendation

An adult without lung disease is breathing room air. Which SpO₂ reading needs action?

1. A89%
2. B99%
3. C97%
4. D96%

What does a “STAT” order mean?

1. ACarry it out only if the patient asks for it
2. BCarry it out at the next routine round
3. CCarry it out within the next 24 hours
4. DCarry it out immediately

A patient has a serum potassium of 6,8 mEq/L. Which action comes first?

1. AEncourage foods high in potassium
2. BRecheck the level next week
3. CGive the patient’s scheduled potassium supplement
4. DPlace the patient on a cardiac monitor

A patient is receiving a blood transfusion. Which task can the nurse delegate to a nursing assistant?

1. AMeasuring and reporting vital signs at the times set by the nurse
2. BDeciding whether to stop the transfusion if the patient has chills
3. CStarting the transfusion once the blood arrives
4. DAssessing the patient for signs of a transfusion reaction

Using the Emergency Severity Index, which level fits a 70-year-old with chest pressure that suggests a heart attack, but normal vital signs?

1. ALevel 1
2. BLevel 5
3. CLevel 4
4. DLevel 2

A patient was knocked out briefly in a fall, then woke and talked normally. Two hours later the patient becomes drowsy and one pupil is larger. What is the most likely cause?

1. AA mild concussion that is settling
2. BNormal tiredness after a fall
3. CLow blood sugar from missing a meal
4. DAn epidural hematoma

Weeks after a kidney transplant, a patient has a fever, less urine and tenderness over the new kidney. What should the nurse suspect?

1. ARejection of the transplant
2. BA side effect of eating salty food
3. CNormal healing of the transplant
4. DDehydration from drinking too much