Užduočių lapas tema Prioritetų nustatymas ir delegavimas su atsakymais

Suaugusiojo širdies sustojimo metu kokią tvarką naudoja dabartinis pagrindinis gaivinimas?

1. AC-A-B: paspaudimai, kvėpavimo takai, kvėpavimas
2. BB-C-A: kvėpavimas, kraujotaka, kvėpavimo takai
3. CA-B-C: kvėpavimo takai, kvėpavimas, kraujotaka
4. DA-C-B: kvėpavimo takai, paspaudimai, kvėpavimas

In the United States, which law sets out the scope of nursing practice in each state?

1. AThe state Nurse Practice Act
2. BThe hospital’s visitor policy
3. CThe Food and Drug Administration rules
4. DThe federal tax code

Which statement about the nursing process is correct when setting priorities?

1. AAssessment comes first, because the other steps depend on it
2. BPlanning comes first, before seeing the patient
3. CImplementation comes first, so care starts quickly
4. DEvaluation comes first, before any patient data have been collected

A patient’s urinary catheter has drained no urine for two hours, and the lower abdomen is swollen. What should the nurse do first?

1. AGive a prescribed diuretic straight away
2. BEncourage the patient to drink more water
3. CRemove the catheter and wait for the patient to void
4. DCheck the tubing for kinks or obstruction

A nurse has called the rapid response team for a deteriorating patient. What should the nurse do while waiting for the team?

1. ALeave the patient for a few minutes to find the relatives and explain what is happening
2. BStay with the patient, give oxygen as prescribed and have recent vital signs ready
3. CGo to the station to finish documentation for other patients
4. DGive a dose of every as-needed medication on the chart

Kuris pacientas tinkamiausias paskirti LPN/LVN?

1. APacientas, kuriam netrukus bus perpilamas pirmas raudonųjų kraujo kūnelių vienetas
2. BPacientas su stabiliu lėtiniu širdies nepakankamumu, kuriam reikia geriamųjų vaistų
3. CPacientas, atvykstantis iš pooperacinės palatos, kuriam reikia pradinio vertinimo
4. DPacientas, paguldytas prieš 30 minučių su nauju krūtinės skausmu

A patient on peritoneal dialysis has cloudy fluid draining out and abdominal pain. What does this most likely mean?

1. AConstipation that will settle with a laxative later today or tomorrow
2. BA normal finding at the end of each exchange
3. CToo much fluid left in the abdomen after the drain
4. DPeritonitis, which needs prompt reporting and a fluid sample

An older patient with heart failure is receiving a second unit of blood. She becomes breathless, with crackles in both lungs and a rising blood pressure. What is most likely happening?

1. AHypoglycemia caused by the stored blood product
2. BAn expected effect of the first unit
3. CA mild allergic reaction with hives
4. DTransfusion-associated circulatory overload