Užduočių lapas tema Prioritetų nustatymas ir delegavimas su atsakymais

Which patient concern belongs to the esteem level of Maslow’s hierarchy?

1. AThirst after a long period of fasting before a test
2. BWorry about body image after a mastectomy
3. CFear of slipping in the shower
4. DMissing friends from home

Which finding should a nursing assistant report to the nurse at once?

1. AA patient who would like tea instead of coffee
2. BA pulse of 42/min in a patient whose usual pulse is 76/min
3. CA patient who wants to shower in the evening
4. DA patient whose weight is unchanged from yesterday

An adult without lung disease is breathing room air. Which SpO₂ reading needs action?

1. A99%
2. B89%
3. C96%
4. D97%

Kurį pacientą slaugytojas turėtų pamatyti pirmiausia?

1. APacientą, sergantį lėtine inkstų liga, kuriam rytoj numatyta dializė
2. BPacientą su nauja neaiškia kalba ir veido nusvirimu, prasidėjusiais prieš 30 minučių
3. CPacientą, sergantį 2 tipo diabetu, klausiantį apie dietą
4. DPacientą, jau seniai sergantį reumatoidiniu artritu, su įprastu rytiniu sąnarių sąstingiu

A patient is receiving continuous tube feeds. Which action best reduces the risk of aspiration?

1. ATurn the feed off only while the patient is asleep at night
2. BIncrease the feed rate so the stomach empties sooner
3. CLay the patient flat for an hour after each bag is hung
4. DKeep the head of the bed raised to at least 30 degrees

A patient with a spinal cord injury at T4 suddenly has a severe headache, flushing above the injury and a blood pressure of 200/110 mmHg. What does the nurse do first?

1. AGive a warm drink and recheck the blood pressure in an hour
2. BLay the patient flat with the legs raised
3. CSit the patient upright with the legs lowered
4. DApply extra blankets to keep the patient warm and calm

At 08:00 a nurse has four tasks. Which order is best?

1. ACheck the patient with a falling SpO₂, give insulin with breakfast, give routine medications, update care plans
2. BUpdate care plans, give insulin with breakfast, give routine medications, check the patient with a falling SpO₂
3. CGive routine medications, check the patient with a falling SpO₂, update care plans, give insulin with breakfast
4. DGive insulin with breakfast, update care plans, check the patient with a falling SpO₂, give routine medications

A charge nurse notices that a nurse smells of alcohol and is slurring words at the start of the shift. What is the priority?

1. AWait until the end of the shift and then discuss the concern with the nurse privately
2. BLet the nurse work, but only with stable patients
3. CAsk the nurse to drink coffee and then start work
4. DRemove the nurse from patient care and report it according to policy