Užduočių lapas tema Prioritetų nustatymas ir delegavimas su atsakymais

Which task is appropriate to delegate to a nursing assistant?

1. AGiving a stable patient their oral medications
2. BFeeding a stable patient who has no swallowing problems
3. CAssessing a pressure injury on the sacrum
4. DFeeding a patient with newly diagnosed dysphagia after a stroke

Which body temperature is a fever in an adult?

1. A38,5 °C
2. B36,4 °C
3. C37,1 °C
4. D36,8 °C

In a patient with sepsis, what does a raised blood lactate level suggest?

1. AThe kidneys are working harder than usual
2. BThe liver is making too much bile
3. CThe tissues are not getting enough oxygen
4. DThe patient has eaten recently

Before giving a medication to a child, which check is especially important?

1. AThat the dose is correct for the child’s weight
2. BThat the child likes the taste of the drug
3. CThat the medicine cup is the child’s favorite color
4. DThat the parent agrees with the time it is given

An Rh-negative mother has just given birth to an Rh-positive baby. What does the nurse expect to give the mother?

1. AVitamin K to the mother
2. BNo treatment is needed
3. CA dose of the hepatitis B vaccine instead
4. DRh immunoglobulin within 72 hours

Which action helps prevent a catheter-associated urinary tract infection?

1. ARaising the drainage bag above the bladder when walking
2. BDisconnecting the bag every shift to empty it
3. CKeeping the drainage bag below the level of the bladder
4. DLeaving the catheter in place longer than needed

After a head injury, a patient has clear fluid dripping from the nose. Which action should the nurse avoid?

1. AInserting a tube or suction catheter through the nose
2. BPlacing a loose gauze under the nose
3. CInforming the provider about the drainage
4. DChecking the fluid for glucose or a halo sign on gauze

Weeks after a kidney transplant, a patient has a fever, less urine and tenderness over the new kidney. What should the nurse suspect?

1. AA side effect of eating salty food
2. BRejection of the transplant
3. CDehydration from drinking too much
4. DNormal healing of the transplant