Užduočių lapas tema Prioritetų nustatymas ir delegavimas su atsakymais

Slaugytojo padėjėjas praneša apie keturis radinius. Kurį slaugytojas turėtų patikrinti pirmiausia?

1. APacientą, kurio pusryčių padėklas nesuvalgytas
2. BPacientą, kuris prašo dar vieno pledo
3. CPacientą, kuris nori paskambinti artimajam
4. DPacientą, kuris staiga negali pajudinti dešinės rankos

Which task is appropriate to delegate to a nursing assistant?

1. AFeeding a stable patient who has no swallowing problems
2. BFeeding a patient with newly diagnosed dysphagia after a stroke
3. CGiving a stable patient their oral medications
4. DAssessing a pressure injury on the sacrum

After chemotherapy, a patient has a very low neutrophil count. Which risk is the nursing priority?

1. AHypertension
2. BInfection
3. CDehydration
4. DBleeding

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. BGive a dose of vitamin K by mouth
3. COffer an iron-rich meal to replace the lost blood
4. DStop the heparin infusion and inform the provider

Which patient is most suitable for the nurse to assign to a nurse who has just finished orientation?

1. AA patient with a new tracheostomy who needs frequent suctioning
2. BA patient on a continuous heparin infusion with rising aPTT values
3. CA patient with sepsis whose blood pressure is falling
4. DA patient with stable cellulitis on scheduled IV antibiotics

A patient’s chest tube becomes disconnected from the drainage system. What should the nurse do first?

1. APlace the end of the tube in a bottle of sterile water
2. BWait for the provider to arrive before doing anything else
3. CRemove the tube and cover the site
4. DClamp the tube for the rest of the shift

A patient is going home on a new oral anticoagulant. There is only a short time for teaching. Which topic is most important?

1. ASigns of bleeding and when to seek help
2. BWhich television programs help with relaxation
3. CHow to choose comfortable walking shoes
4. DHow to cook low-fat meals

A medical-unit nurse is floated to intensive care and given a patient on a ventilator, which the nurse has never managed. What is the best response?

1. ALeave the intensive care unit and go back to the medical unit without telling anyone
2. BTell the charge nurse about the gap, accept tasks within competence and ask for support
3. CRefuse to work and go home, because the assignment is unsafe
4. DAccept the full assignment without comment to avoid conflict