Užduočių lapas tema Prioritetų nustatymas ir delegavimas su atsakymais

Which term describes a patient who is unable to understand and decide about their own care?

1. AFully competent
2. BLacking decision-making capacity
3. CProviding valid informed consent
4. DExercising autonomy

Which task is appropriate to delegate to a nursing assistant?

1. AGiving a stable patient their oral medications
2. BAssessing a pressure injury on the sacrum
3. CFeeding a patient with newly diagnosed dysphagia after a stroke
4. DFeeding a stable patient who has no swallowing problems

Which finding in an infant is a sign of breathing difficulty?

1. AWet diapers every few hours
2. BNasal flaring
3. CA strong cry
4. DPink, warm hands and feet

Five days after starting heparin, a patient’s platelet count has fallen by more than half. What should the nurse suspect?

1. AHeparin-induced thrombocytopenia
2. BAn expected effect that needs no action
3. CIron deficiency anemia
4. DVitamin K deficiency

A nurse sees a nursing assistant leave a confused patient’s bed in the highest position after care. What should the nurse do?

1. ALeave it because the patient is asleep
2. BLower the bed now and remind the assistant why it matters
3. CAsk the family to lower the bed when they next visit
4. DWrite it in the assistant’s yearly review only

A nurse cannot read part of a medication order. What should the nurse do?

1. AGive the usual dose of the drug the nurse thinks was meant
2. BAsk another nurse to guess what the order most likely says, then give it
3. CContact the prescriber to clarify the order before giving the drug
4. DSkip the drug and not tell anyone until the next ward round

Atliekant START triažą, nevaikštantis suaugusysis kvėpuoja 24 kartus per minutę, turi stipininės arterijos pulsą, bet nevykdo paprastų nurodymų. Kokia kategorija jam suteikiama?

1. ARaudona (neatidėliotina)
2. BGeltona (atidėtina)
3. CŽalia (lengva)
4. DJuoda (tikėtina mirtis)

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

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