Užduočių lapas tema Prioritetų nustatymas ir delegavimas su atsakymais

Kai prioritetų klausime pateikiami ir vertinimas, ir veiksmas, kuris dažniausiai teisingas pirmiausia, kai situacija nėra skubi?

1. ASlaugytojo padėjėjo paprašymas nueiti ir patikrinti pacientą
2. BSusirūpinimo užrašymas medicininiuose dokumentuose
3. CPaciento įvertinimas daugiau informacijos surinkti
4. DSkambinimas gydytojui, prieš pamatant pacientą

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

In mmHg, what is the normal range for arterial PaCO₂?

1. A80–100 mmHg
2. B7,35–7,45 mmHg
3. C22–26 mmHg
4. D35–45 mmHg

Slaugytojas randa pacientą ant grindų prie lovos. Koks pirmas veiksmas?

1. APaskambinti paciento šeimai ir paaiškinti, kas nutiko
2. BĮvertinti paciento reakciją ir sužalojimus, prieš jį judinant
3. CSurašyti incidento pranešimą, kol detalės šviežios
4. DIškart padėti pacientui grįžti į lovą su kolegos pagalba

An anxious patient is breathing very fast and has tingling fingers. The blood gas shows pH 7,51 and PaCO₂ 29 mmHg (3,9 kPa). What should the nurse do first?

1. AGive IV sodium bicarbonate as soon as it can be found
2. BGive oxygen at the highest flow and leave the room
3. CEncourage the patient to breathe even faster
4. DStay with the patient and coach slow, calm breathing

A patient with diabetes is unresponsive and has a blood glucose of 40 mg/dL (2,2 mmol/L). What should the nurse do first?

1. APour orange juice into the patient’s mouth
2. BGive the scheduled dose of insulin
3. CGive IV dextrose or glucagon as prescribed
4. DWait 15 minutes and recheck the glucose

An older patient with heart failure is receiving a second unit of blood. She becomes breathless, with crackles in both lungs and a rising blood pressure. What is most likely happening?

1. AHypoglycemia caused by the stored blood product
2. BAn expected effect of the first unit
3. CTransfusion-associated circulatory overload
4. DA mild allergic reaction with hives

A child who had a tonsillectomy this morning is swallowing again and again while asleep. What should the nurse suspect?

1. AHunger after fasting for surgery
2. BA sore throat from the breathing tube
3. CNormal swallowing during sleep
4. DBleeding from the operation site