Užduočių lapas tema Prioritetų nustatymas ir delegavimas su atsakymais

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Vardas: ____________________   Data: ____________

1.Lengvas

What is the range of possible scores on the Glasgow Coma Scale?

  1. A0 to 10
  2. B1 to 20
  3. C0 to 15
  4. D3 to 15
2.Lengvas

Which maneuver opens the airway of an unresponsive adult with no suspected spinal injury?

  1. AJaw thrust without head tilt
  2. BTurning the head sharply to one side
  3. CHead-tilt, chin-lift
  4. DRaising the legs above the heart
3.Lengvas

When is a patient most ready to learn about self-care?

  1. AStraight after hearing bad news about a serious new diagnosis
  2. BDuring a period of acute breathlessness
  3. CWhile in severe pain, so the lesson feels important
  4. DWhen pain is controlled and basic physical needs are met
4.Vidutinis

Which practice makes a shift handover safest?

  1. AHanding over only the patients who had problems during the shift
  2. BA quick chat in the corridor with no notes taken
  3. CA structured format, such as SBAR, with time for questions
  4. DLeaving a sticky note on the computer screen for the next nurse
5.Vidutinis

One day after surgery, a patient walked safely with the RN this morning. The RN now asks a nursing assistant to walk her again. Which instruction is most important?

  1. A“Try to finish the walk before the lunch trays arrive.”
  2. B“Make sure she wears her own slippers if she has them.”
  3. C“Walk her to the end of the corridor and back twice before lunch.”
  4. D“Stop and call me at once if she feels dizzy or short of breath.”
6.Vidutinis

Pacientas klausia slaugytojo padėjėjo apie naujo vaisto šalutinius poveikius. Ką turėtų daryti padėjėjas?

  1. ASusirasti vaistą internete ir perskaityti, kas ten parašyta
  2. BPaaiškinti šalutinius poveikius, nurodytus vaisto pacientui skirtame lapelyje
  3. CNuraminti pacientą, kad šalutiniai poveikiai reti
  4. DPasakyti, kad slaugytojas ateis atsakyti, ir pranešti slaugytojui
7.Sunkus

A patient opens their eyes only to pain, uses inappropriate words and withdraws from pain. What is the Glasgow Coma Scale score?

  1. A13
  2. B9
  3. C11
  4. D7
8.Sunkus

Several patients on a unit develop diarrhea within two days. What should the nurse do first?

  1. AMove the affected patients into shared rooms with other patients to free up beds
  2. BWait to see if more patients become unwell
  3. CPlace affected patients on contact precautions and inform infection control
  4. DGive all patients antidiarrheal drugs without assessment

Atsakymai

  1. 1. D · 3 to 15
  2. 2. C · Head-tilt, chin-lift
  3. 3. D · When pain is controlled and basic physical needs are met
  4. 4. C · A structured format, such as SBAR, with time for questions
  5. 5. D · “Stop and call me at once if she feels dizzy or short of breath.”
  6. 6. D · Pasakyti, kad slaugytojas ateis atsakyti, ir pranešti slaugytojui
  7. 7. B · 9
  8. 8. C · Place affected patients on contact precautions and inform infection control

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