Užduočių lapas tema Prioritetų nustatymas ir delegavimas su atsakymais

Taikant ABC schemą slaugos prioritetams nustatyti, kuris poreikis tenkinamas pirmiausia?

1. AKraujotaka (Circulation)
2. BSkausmas
3. CKvėpavimas (Breathing)
4. DKvėpavimo takai (Airway)

What does a “STAT” order mean?

1. ACarry it out within the next 24 hours
2. BCarry it out at the next routine round
3. CCarry it out only if the patient asks for it
4. DCarry it out immediately

What does a root cause analysis look for after a serious event?

1. AThe single staff member who should be blamed
2. BWhich patient made the complaint
3. CHow much the event cost the hospital
4. DThe underlying system causes of the event

Slaugytojas pamato slaugytojo padėjėją, matuojantį kraujospūdį aiškiai per maža manžete. Ką turėtų daryti slaugytojas?

1. AAtitraukti padėjėją nuo pacientų priežiūros visai dienai
2. BĮsikišti dabar, taktiškai pataisyti techniką ir pakartoti matavimą
3. CNekreipti dėmesio, nes vienas aukštas rodmuo nesvarbu
4. DPaminėti vėliau per padėjėjo kitą metinį vertinimą

One day after surgery, a patient walked safely with the RN this morning. The RN now asks a nursing assistant to walk her again. Which instruction is most important?

1. A“Stop and call me at once if she feels dizzy or short of breath.”
2. B“Make sure she wears her own slippers if she has them.”
3. C“Walk her to the end of the corridor and back twice before lunch.”
4. D“Try to finish the walk before the lunch trays arrive.”

Which telephone call should a clinic nurse return first?

1. AA parent of a 5-year-old with a runny nose for two days
2. BAn adult asking for a repeat prescription for a statin
3. CA parent of a 6-week-old with a temperature of 38,3 °C
4. DAn adult who wants to move a routine blood test appointment

After a vaginal birth, the uterus is firm and central, but bright red blood keeps trickling steadily. What should the nurse suspect?

1. AA full bladder pushing the uterus aside
2. BUterine atony that needs more massage
3. CA tear in the birth canal or cervix
4. DNormal lochia for the first hour

A patient with diabetic ketoacidosis is about to start an IV insulin infusion. The serum potassium is 3,0 mEq/L. What should the nurse do?

1. AStart the insulin at once, because the glucose is the bigger problem
2. BIgnore the result, since potassium is always high in this condition and will correct itself
3. CGive the insulin as a fast bolus to bring the potassium up
4. DReport the result before starting, because insulin will push potassium even lower