Užduočių lapas tema Prioritetų nustatymas ir delegavimas su atsakymais

In stroke care, what does the “last known well” time mean?

1. AThe last time the patient was seen without stroke symptoms
2. BThe time of the patient’s last meal
3. CThe time the first symptom was noticed by a stranger
4. DThe time the patient arrived at the hospital and was triaged

Which three things does START triage check in a non-walking adult?

1. APulse, blood pressure and body temperature
2. BAirway, blood glucose and pupils
3. CPain score, mobility and age
4. DRespirations, perfusion and mental status

Which value is the usual target INR for a patient taking warfarin for atrial fibrillation?

1. A0,5–1,0
2. B6,0–7,0
3. C4,0–5,0
4. D2,0–3,0

A nurse teaches a patient about storing insulin at home. Which statement shows a need for further teaching?

1. A“I will keep unopened insulin in the fridge.”
2. B“I will keep my spare insulin in the freezer so it lasts longer.”
3. C“I will not leave my insulin in a hot car.”
4. D“I will check the expiry date on the label before I use the vial.”

A patient with type 1 diabetes has vomited since morning and cannot eat. Which action is most important?

1. AStop all insulin until the patient is able to eat normally again
2. BEncourage a large meal to settle the stomach
3. CWait until tomorrow to see if the vomiting settles
4. DCheck the blood glucose and ketones and contact the provider

Which infant with gastroenteritis should the nurse see first?

1. AMild diaper rash, otherwise playful
2. BTwo loose stools today, feeding well
3. CLethargic, sunken fontanel, no wet diaper for 8 hours
4. DAlert, crying with tears, had a wet diaper an hour ago

A patient with MRSA in a wound is on contact precautions. Which instruction to the nursing assistant is correct?

1. AWear a respirator mask in the room, because MRSA in a wound spreads through the air to others
2. BNo special precautions are needed if the wound is covered with a dressing
3. COnly wear gloves when touching the wound itself; skin and bedding are safe
4. DWear a gown and gloves for contact with the patient or the room, and use dedicated equipment

Chirurgijos skyriuje, kurį po operacijos esantį pacientą slaugytojas turėtų pamatyti pirmiausia?

1. A2 dienos po klubo sąnario endoprotezavimo: skausmas 5/10 judant, nuskausminamasis duotas prieš 1 valandą
2. B6 valandos po miego arterijos endarterektomijos: kaklo tinimas didėja, sako, kad sunku nuryti
3. C2 dienos po kolostomos suformavimo: stoma drėgna ir rausva, išskyrų nedaug
4. DPo prostatos operacijos su šlapimo pūslės plovimu: šviesiai rausvas šlapimas, krešulių nėra