Užduočių lapas tema Prioritetų nustatymas ir delegavimas su atsakymais

In the FAST stroke check, what does the T stand for?

1. ATremor of the hands
2. BTime to call emergency services
3. CTemperature
4. DTongue movement

Kurią užduotį registruotasis slaugytojas turėtų pasilikti sau, o ne deleguoti nelicencijuotam pagalbiniam personalui?

1. AStabilaus paciento prausimą
2. BStabiliam pacientui padėti nueiti į tualetą ir atgal
3. CIšgerto ir išskirto skysčių kiekio matavimą ir užrašymą
4. DNaujai priimto paciento pradinį vertinimą

Which finding meets the usual definition of orthostatic hypotension?

1. ABlood pressure is the same lying and standing
2. BHeart rate falls by 5/min after lying down
3. CSystolic pressure rises by 20 mmHg or more within 3 minutes of standing up
4. DSystolic pressure falls by 20 mmHg or more within 3 minutes of standing

Which newborn finding needs prompt reporting?

1. AJaundice that appears within the first 24 hours
2. BMild jaundice that first appears on the third day
3. CMilia (small white spots) on the nose
4. DBluish hands and feet in the first hours

A patient has a nasogastric tube on suction. Which task can the nurse delegate to a nursing assistant?

1. AChecking the tube’s position
2. BIrrigating the tube when it blocks
3. CGiving mouth care
4. DAssessing the drainage for blood

A patient arrives in the recovery room after general anesthesia. What does the nurse assess first?

1. AAirway patency and breathing
2. BThe surgical dressing and the drains
3. CThe pain score
4. DUrine output

A patient with diabetes is sweaty and confused, and no glucose meter is available. The patient can swallow. What should the nurse do?

1. AAsk the patient to lie down and sleep it off
2. BGive a dose of rapid-acting insulin in case the glucose is high
3. CWithhold all food and fluids until a meter is found
4. DTreat for hypoglycemia with fast-acting oral carbohydrate

A toddler with tetralogy of Fallot becomes very blue and breathless while crying. What should the nurse do first?

1. APlace the child in a knee-to-chest position
2. BGive a large drink of water to calm the child
3. CEncourage the child to keep crying to open the lungs
4. DLay the child flat on their back