Užduočių lapas tema Prioritetų nustatymas ir delegavimas su atsakymais

An adult arrives at the emergency department with chest pain. Which test should be done within about 10 minutes of arrival?

1. AAn exercise stress test
2. BA 12-lead ECG
3. CA chest CT scan
4. DA lipid profile

Which capillary refill time is prolonged in an adult?

1. A4 seconds
2. B1 second
3. CLess than 1 second
4. D2 seconds

What is the normal range for arterial bicarbonate (HCO₃⁻)?

1. A3,5–5,0 mEq/L
2. B35–45 mEq/L
3. C80–100 mEq/L
4. D22–26 mEq/L

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

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

A patient has a nasogastric tube on suction. Which task can the nurse delegate to a nursing assistant?

1. AAssessing the drainage for blood
2. BIrrigating the tube when it blocks
3. CChecking the tube’s position
4. DGiving mouth care

A patient with schizophrenia says voices are telling him to hurt his roommate. What is the priority?

1. AIgnore the comment, because voices are part of his illness
2. BKeep everyone safe and tell the team, as the risk of harm is high
3. CAsk the roommate to stay in the room with him and help calm him down
4. DTell him the voices are not real and leave him alone

A patient with severe sepsis starts oozing blood from IV sites and the gums, and bruises appear on the skin. What should the nurse suspect?

1. AVitamin C deficiency
2. BAn allergic reaction to the adhesive tape
3. CDisseminated intravascular coagulation (DIC)
4. DNormal bruising from blood tests

After surgery, a patient who has taken long-term steroids becomes hypotensive and weak, and the blood pressure does not rise with IV fluids. Which problem should the nurse suspect?

1. AAn allergic reaction to the anesthetic
2. BNormal tiredness after anesthesia
3. CAdrenal crisis from steroid withdrawal
4. DFluid overload from too much IV fluid