Užduočių lapas tema Prioritetų nustatymas ir delegavimas su atsakymais

Which of these is one of the standard “rights” of medication administration?

1. ARight patient
2. BRight colleague
3. CRight brand
4. DRight ward

Which white blood cell count suggests an infection or inflammation?

1. A6,500/mm³ (6,5 × 10⁹/L)
2. B18,000/mm³ (18 × 10⁹/L)
3. C7,000/mm³ (7 × 10⁹/L)
4. D8,200/mm³ (8,2 × 10⁹/L)

Ką delegavime reiškia „teisinga priežiūra ir vertinimas"?

1. ASlaugytojas seka eigą, prireikus įsikiša ir patikrina rezultatą
2. BPamainos vadovė pamainos pabaigoje pasirašo visas deleguotas užduotis
3. CDeleguojamas asmuo pats patikrina ir pasirašo savo darbą
4. DSlaugytojas stebi kiekvieną sekundę kiekvienos deleguotos užduoties

On a pediatric unit, which child does the nurse assess first?

1. AA child with asthma who is now quiet with very little air movement
2. BA child with croup who has a barking cough but no stridor at rest
3. CA child in a new arm cast with pink, warm fingers and pain of 5/10
4. DA child with a temperature of 38,2 °C after vaccination

A patient with a head injury is being monitored. Which set of findings suggests rising intracranial pressure?

1. ARising systolic pressure, slow pulse and irregular breathing
2. BLow temperature, fast breathing and a strong appetite
3. CFalling blood pressure, a fast pulse and warm, flushed dry skin
4. DNormal blood pressure, normal pulse and clear speech

An older patient who has been constipated for days now has small amounts of liquid stool leaking. What should the nurse suspect?

1. AThe constipation has fully resolved
2. BA new bowel infection that has caused the diarrhea
3. CFecal impaction with liquid stool passing around it
4. DA side effect of drinking too much water

Four patients arrive at the emergency department at the same time. Who should be seen first?

1. AAn older adult with weakness on one side that began 40 minutes ago
2. BAn adult with kidney stone pain of 9/10 and stable vital signs
3. CA young adult with a swollen, painful ankle after a fall on the stairs
4. DA child with a temperature of 39 °C who is alert and drinking

Two hours after a femoral cardiac catheterization, the nurse sees blood spreading from the puncture site. What is the first action?

1. AAsk the patient to bend the leg at the hip to stop the bleeding
2. BRemove the dressing and leave the site open to the air
3. CRaise the head of the bed so the patient can sit up
4. DApply firm, direct pressure just above the puncture site