Užduočių lapas tema Prioritetų nustatymas ir delegavimas su atsakymais

A patient’s platelet count is 18,000/mm³ (18 × 10⁹/L). Which risk is the nursing priority?

1. ABlood clots
2. BFluid overload
3. CInfection
4. DBleeding

Kuris paciento poreikis priklauso Maslou hierarchijos saugumo lygmeniui?

1. AApsauga nuo kritimų
2. BDeguonis
3. CDraugystė
4. DKitų pripažinimas

Slaugytojo padėjėjas praneša apie keturis radinius. Kurį slaugytojas turėtų patikrinti pirmiausia?

1. APacientą, kuris nori paskambinti artimajam
2. BPacientą, kurio pusryčių padėklas nesuvalgytas
3. CPacientą, kuris staiga negali pajudinti dešinės rankos
4. DPacientą, kuris prašo dar vieno pledo

A patient on hemodialysis has an arteriovenous fistula in the left arm. Which instruction should the nurse give the nursing assistant?

1. AHelp the patient carry shopping bags on the left arm
2. BKeep the left arm wrapped tightly in a bandage at night
3. CDo not measure blood pressure on the left arm
4. DMeasure blood pressure on the left arm only, every 4 hours

On a postpartum unit, which patient is the most appropriate to assign to an LPN/LVN?

1. ADay 1 after an uncomplicated vaginal birth, stable vital signs
2. BOne hour after birth with heavy bleeding and a boggy uterus
3. CSevere pre-eclampsia on a magnesium sulfate infusion
4. DA new admission transferred from the labor ward with a fever of 38,6 °C

Naudojant Skubios pagalbos sunkumo indeksą, kuriam pacientui suteikiamas aukščiausias skubumo lygis?

1. APacientui, tris dienas skundžiančiam gerklės skausmu ir turinčiam normalius gyvybinius rodiklius
2. BNereaguojančiam pacientui su gaudančiu, nereguliariu kvėpavimu
3. CPacientui su galimu kulkšnies lūžiu
4. DPacientui su krūtinės skausmu ir normaliais gyvybiniais rodikliais

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. BA family member wants an update on their father’s progress
3. CThe laboratory is calling with a critical potassium result of 2,6 mEq/L
4. DThe pharmacy asks when the next delivery should be scheduled

At 08:00 a nurse has four tasks. Which order is best?

1. AUpdate care plans, give insulin with breakfast, give routine medications, check the patient with a falling SpO₂
2. BCheck the patient with a falling SpO₂, give insulin with breakfast, give routine medications, update care plans
3. CGive insulin with breakfast, update care plans, check the patient with a falling SpO₂, give routine medications
4. DGive routine medications, check the patient with a falling SpO₂, update care plans, give insulin with breakfast