Užduočių lapas tema Prioritetų nustatymas ir delegavimas su atsakymais

In SBAR communication, what does the letter R stand for?

1. AResult
2. BReassessment
3. CResponse
4. DRecommendation

Which symptoms are classic signs of digoxin toxicity?

1. AHair loss and weight gain
2. BA rash, high fever and swollen lymph nodes in the neck
3. CHigh blood sugar and increased thirst
4. DNausea, poor appetite and yellow-green visual halos

What are Kussmaul respirations?

1. ANoisy, high-pitched breathing caused by a blocked upper airway
2. BDeep, rapid breathing seen in metabolic acidosis such as DKA
3. CSlow, shallow breathing after an opioid overdose
4. DShort pauses in breathing during normal sleep

Which patient is at the highest risk of falling?

1. AA 60-year-old admitted for chest pain that has since been ruled out by tests
2. BA 30-year-old after an appendectomy who walks with steady steps
3. CAn 84-year-old taking a diuretic who has fallen before and gets up at night
4. DA 45-year-old with asthma who is alert and independent

A pregnant nurse is on the unit. Which patient should the charge nurse avoid assigning to her?

1. AA patient with type 2 diabetes who needs insulin teaching before discharge
2. BA patient with a sealed radioactive implant for cervical cancer
3. CA patient with a fractured wrist
4. DA patient after a hip replacement

A patient with mild dysphagia after a stroke is eating. Which technique helps make swallowing safer?

1. ASitting upright with the chin tucked down while swallowing
2. BLying flat with the head tilted back
3. CTalking while eating to stay alert
4. DDrinking thin fluids quickly through a straw between bites

A nurse has a needlestick injury from a used needle. What should the nurse do first?

1. AWash the area with soap and water
2. BScrub the area with bleach
3. CSqueeze the wound hard and suck it
4. DFinish the shift and report it tomorrow

During a power cut, which patient is the nurse’s first priority?

1. AA patient whose call light is not working
2. BA patient whose bed will not raise electrically
3. CA patient watching television when it switched off
4. DA patient who depends on a ventilator