Užduočių lapas tema Prioritetų nustatymas ir delegavimas su atsakymais

Ką delegavime reiškia „teisinga priežiūra ir vertinimas"?

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

For a patient with a suspected heart attack and no contraindications, which drug is usually given early?

1. AAcetaminophen (paracetamol)
2. BCodeine
3. CIbuprofen
4. DAspirin, chewed

In delegation, what does the “right task” mean?

1. AThe task is one that may be delegated for this patient
2. BThe task has been requested by the patient or the patient’s family
3. CThe task can be finished in under ten minutes
4. DThe task is the one the nurse likes least

Po pamainos perdavimo, kurį pacientą slaugytojas turėtų pamatyti pirmiausia?

1. APacientą, sergantį diabetu, kurio gliukozė prieš pusryčius yra 160 mg/dL (8,9 mmol/L)
2. BPacientą praėjus dviem dienoms po klubo sąnario endoprotezavimo, skausmas 5/10
3. CPacientą, sergantį astma, kuris naudoja pagalbinius kvėpavimo raumenis ir kurio SpO₂ yra 88 %
4. DPacientą, sergantį pneumonija, temperatūra 38,2 °C, kuriam prieš 30 minučių duotas karščiavimą mažinantis vaistas

A patient receiving chemotherapy has a temperature of 38,3 °C and a very low neutrophil count. What should the nurse do?

1. AGive a cool shower and offer extra fluids, then wait and see what happens
2. BReport it at once, because cultures and antibiotics are needed quickly
3. CDocument the reading and mention it at the next handover
4. DRecheck the temperature in four hours before telling anyone

A drowsy patient has an arterial blood gas with pH 7,30, PaCO₂ 58 mmHg (7,7 kPa) and HCO₃⁻ 25 mEq/L (mmol/L). Which problem is the priority?

1. ALoss of bicarbonate from the bowel through severe diarrhea
2. BHyperventilation caused by anxiety
3. CToo much bicarbonate from antacids
4. DPoor ventilation causing carbon dioxide to build up

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

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

A nurse must care for a patient with a radioactive implant. Which approach best limits the nurse’s exposure?

1. AWear a surgical mask to block the radiation
2. BLimit time in the room, keep as far away as possible and use shielding
3. CSpend longer in the room each time but visit less often during the shift
4. DStand close to the patient to finish care faster