Užduočių lapas tema Prioritetų nustatymas ir delegavimas su atsakymais

In which situation can a pulse oximeter give a falsely normal reading?

1. AA patient breathing room air normally
2. BA warm, well-perfused finger
3. CCarbon monoxide poisoning
4. DA healthy adult at rest

In stroke care, what does the “last known well” time mean?

1. AThe time the first symptom was noticed by a stranger
2. BThe time the patient arrived at the hospital and was triaged
3. CThe last time the patient was seen without stroke symptoms
4. DThe time of the patient’s last meal

What is status epilepticus?

1. AA seizure that happens only during sleep
2. BA faint caused by standing up too quickly
3. CA seizure lasting 5 minutes or more, or repeated seizures without recovery
4. DA single short seizure that stops on its own within a minute or two

When making patient assignments, what should the charge nurse consider first?

1. AGiving each nurse patients in rooms next to each other
2. BMatching each patient’s needs to staff competence
3. CGiving the newest staff the most complex patients
4. DLetting staff choose the patients they prefer

Which patient should the RN see first after receiving a report from the night nurse?

1. ADay 3 after bowel surgery, wants a shower and hair wash before breakfast
2. BDay 1 after bowel surgery, new chest pain and heart rate 110/min
3. CDay 4 after bowel surgery, waiting for discharge teaching
4. DDay 2 after bowel surgery, asking to start a soft diet

A nurse teaches a patient with COPD pursed-lip breathing. Which statement shows a need for further teaching?

1. A“I will breathe out slowly through pursed lips.”
2. B“I will make my breath out about twice as long as my breath in.”
3. C“I will breathe in through my mouth and out quickly through my nose.”
4. D“I will breathe in slowly through my nose.”

An older patient has bruises of different ages and seems frightened when a relative visits. What is the nurse’s priority?

1. ATell the patient she must leave home and go to live somewhere else
2. BEnsure the patient’s safety, document the findings and report as required
3. CIgnore it, because older people bruise easily
4. DAsk the relative directly in front of the patient whether they hit her

A marathon runner is confused, with a temperature of 41 °C and hot skin. What is the priority?

1. AWrapping the runner in a blanket to prevent shivering
2. BRapid cooling while supporting airway and circulation
3. CAsking the runner to rest in the shade and drink slowly
4. DGiving an antipyretic tablet and waiting for it to work