Užduočių lapas tema Prioritetų nustatymas ir delegavimas su atsakymais

What is the purpose of an early warning score, such as the National Early Warning Score (NEWS)?

1. ATo decide the patient’s diet
2. BTo calculate the correct drug doses for each patient
3. CTo spot deterioration early from routine vital signs
4. DTo measure the patient’s satisfaction with care

A nurse is worried about a patient’s worsening condition, and the provider does not respond to the concern. Following the chain of command, whom does the nurse usually contact next?

1. AThe charge nurse or nursing supervisor
2. BThe pharmacy technician on duty that day
3. CThe patient’s next of kin
4. DThe hospital’s chief executive

Which finding is one of the quick SOFA (qSOFA) criteria for possible sepsis?

1. ARespiratory rate of 22/min or more
2. BTemperature below 36,5 °C on one reading
3. CHeart rate below 60/min
4. DBlood glucose above 100 mg/dL

Which action by a nursing assistant needs the nurse to step in?

1. ATaking an oral temperature just after the patient drank cold water
2. BPutting the call light within the patient’s reach
3. CLowering the bed to its lowest position and locking the wheels after care
4. DCleaning hands before entering the room

A nurse teaches a patient who uses home oxygen. Which statement shows a need for further teaching?

1. A“I will put up no-smoking signs at the front door and in my room.”
2. B“My husband can smoke in my room if the window is open.”
3. C“I will not use oil-based creams on my face.”
4. D“I will keep the oxygen away from the gas stove.”

A patient on a nasal cannula at 6 L/min still has a low SpO₂. What should the nurse do?

1. ARemove the oxygen to see if the SpO₂ changes
2. BTurn the nasal cannula up to 15 L/min
3. CReport it, because a different oxygen device is likely to be needed
4. DRecheck the SpO₂ at the next routine set of observations in four hours

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

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

A patient with diabetes takes propranolol. Which sign of hypoglycemia is most likely to still appear?

1. ATremor
2. BTachycardia
3. CPalpitations
4. DSweating