Užduočių lapas tema Prioritetų nustatymas ir delegavimas su atsakymais

Which hemoglobin result is low for an adult woman?

1. A7,8 g/dL (78 g/L)
2. B14,0 g/dL (140 g/L)
3. C12,6 g/dL (126 g/L)
4. D13,2 g/dL (132 g/L)

In US units, which blood urea nitrogen (BUN) result is within the normal adult range?

1. A70 mg/dL
2. B2 mg/dL
3. C15 mg/dL
4. D45 mg/dL

What is the main purpose of a rapid response team?

1. ATo review medication errors and falls after they have happened on the unit
2. BTo handle complaints from patients and families
3. CTo transport stable patients between hospital units
4. DTo assess and treat a deteriorating patient before an arrest happens

A patient with diabetes is unresponsive and has a blood glucose of 40 mg/dL (2,2 mmol/L). What should the nurse do first?

1. AWait 15 minutes and recheck the glucose
2. BPour orange juice into the patient’s mouth
3. CGive the scheduled dose of insulin
4. DGive IV dextrose or glucagon as prescribed

A patient on a continuous IV heparin infusion has new black, tarry stools and an aPTT well above the target range. What should the nurse do first?

1. ACheck the pump rate and leave the infusion running
2. BStop the heparin infusion and inform the provider
3. CGive a dose of vitamin K by mouth
4. DOffer an iron-rich meal to replace the lost blood

A nurse has given rapid-acting insulin, and then learns that the patient’s meal tray will be 45 minutes late. What should the nurse do?

1. AGet the patient some carbohydrate food now and check the glucose
2. BAsk the patient to walk around the ward until the food arrives
3. CGive a second, smaller dose of insulin when the meal tray finally arrives
4. DTell the patient to wait and do nothing until the tray comes

A patient admitted with a stroke this morning asks for a glass of water. What should the nurse do first?

1. AAsk the family to help the patient drink while sitting upright in a chair at the bedside
2. BCheck that a swallow screen has been done before giving anything by mouth
3. CGive thickened fluids without checking the swallow
4. DGive the water through a straw so it goes down slowly

A patient has central chest pain that started 30 minutes ago at rest and has not eased with rest or nitroglycerin. What does this suggest?

1. AA possible myocardial infarction that needs urgent action
2. BStable angina that will pass without treatment
3. CMuscle strain that needs a warm compress
4. DIndigestion that is best treated with an antacid and a glass of milk