Užduočių lapas tema Prioritetų nustatymas ir delegavimas su atsakymais

In the Emergency Severity Index (ESI), which patient fits level 2?

1. AA stable patient who needs no resources
2. BA high-risk situation, new confusion, or severe pain or distress
3. CA patient who needs an immediate life-saving intervention to survive
4. DA stable patient who needs one resource

Which white blood cell count suggests an infection or inflammation?

1. A6,500/mm³ (6,5 × 10⁹/L)
2. B8,200/mm³ (8,2 × 10⁹/L)
3. C7,000/mm³ (7 × 10⁹/L)
4. D18,000/mm³ (18 × 10⁹/L)

What is status epilepticus?

1. AA single short seizure that stops on its own within a minute or two
2. BA seizure that happens only during sleep
3. CA faint caused by standing up too quickly
4. DA seizure lasting 5 minutes or more, or repeated seizures without recovery

A patient wants to leave the hospital against medical advice. What should the nurse do?

1. ALet the patient leave without telling anyone
2. BInform the provider, explain the risks and document the discussion
3. CLock the door so the patient cannot leave the unit
4. DHide the patient’s clothes and belongings until the provider arrives

A nurse needs to give report on a patient to a colleague. Which information is the most important to include?

1. AThe patient’s favorite television programs and hobbies
2. BPersonal opinions about the patient’s family members and their visiting habits
3. CDetails of the nurse’s own break times that shift
4. DThe patient’s current condition, recent changes and pending tasks

One hour after a vaginal birth, the nurse finds a soft, boggy uterus and heavy bleeding. What is the first action?

1. AMassage the fundus
2. BOffer a meal and fluids
3. CEncourage the patient to rest quietly
4. DApply an ice pack to the perineum

Two patients on the unit have the same surname. What should the nurse do before giving a medication?

1. AAsk the patient, “Are you Mr Smith?” and give the drug once he says yes
2. BCheck two identifiers against the wristband and the medication record
3. CAsk a nursing assistant which patient is which
4. DUse the room number as the main identifier

After a head injury, a patient passes large amounts of very dilute urine, is thirsty and has a rising serum sodium. Which condition is most likely?

1. ASIADH
2. BAcute kidney injury with oliguria
3. CDiabetic ketoacidosis
4. DDiabetes insipidus