Užduočių lapas tema Prioritetų nustatymas ir delegavimas su atsakymais

In Maslow’s hierarchy of needs, which level sits at the top?

1. AEsteem
2. BSafety and security
3. CLove and belonging
4. DSelf-actualization

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

1. ASusirūpinimo užrašymas medicininiuose dokumentuose
2. BPaciento įvertinimas daugiau informacijos surinkti
3. CSkambinimas gydytojui, prieš pamatant pacientą
4. DSlaugytojo padėjėjo paprašymas nueiti ir patikrinti pacientą

Which patient is unstable?

1. AA patient with a new irregular pulse who says they feel dizzy
2. BA patient waiting for a planned hip X-ray
3. CA patient with a healing leg wound and normal vital signs this morning
4. DA patient with long-standing arthritis pain of 3/10

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

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

A patient has a serum potassium of 6,8 mEq/L. Which action comes first?

1. AGive the patient’s scheduled potassium supplement
2. BEncourage foods high in potassium
3. CPlace the patient on a cardiac monitor
4. DRecheck the level next week

A patient is receiving a blood transfusion. Which task can the nurse delegate to a nursing assistant?

1. AStarting the transfusion once the blood arrives
2. BAssessing the patient for signs of a transfusion reaction
3. CMeasuring and reporting vital signs at the times set by the nurse
4. DDeciding whether to stop the transfusion if the patient has chills

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

A team has an RN, an LPN/LVN and a nursing assistant. Which task is the best one to assign to the LPN/LVN?

1. AWriting the discharge teaching plan for a patient with new diabetes
2. BGiving a scheduled subcutaneous anticoagulant injection to a stable patient
3. CMeasuring the vital signs and weights of every patient on the unit before breakfast
4. DAssessing a patient who returned from surgery 30 minutes ago