Užduočių lapas tema Prioritetų nustatymas ir delegavimas su atsakymais

Which patient need belongs to the love and belonging level of Maslow’s hierarchy?

1. ANeeding pain relief after surgery
2. BWanting family members to visit
3. CNeeding the call light within reach
4. DWanting praise for progress in rehabilitation

What are Kussmaul respirations?

1. ASlow, shallow breathing after an opioid overdose
2. BNoisy, high-pitched breathing caused by a blocked upper airway
3. CDeep, rapid breathing seen in metabolic acidosis such as DKA
4. DShort pauses in breathing during normal sleep

A medication error has just reached a patient. What is the nurse’s first action?

1. ACorrect the entry on the medication record
2. BAssess the patient for any effects of the error
3. CComplete an incident report before doing anything else
4. DTell the nurse manager at the end of the shift

A patient’s urinary catheter has drained no urine for two hours, and the lower abdomen is swollen. What should the nurse do first?

1. ACheck the tubing for kinks or obstruction
2. BEncourage the patient to drink more water
3. CGive a prescribed diuretic straight away
4. DRemove the catheter and wait for the patient to void

A nurse gives IV morphine for severe pain. When should the nurse reassess the pain and sedation?

1. AOnly when the patient asks for more
2. BWithin about 15–30 minutes
3. CAt the next routine round in four hours
4. DAt the end of the shift

Suaugusysis, valgantis dienos kambaryje, staiga čiumpa gerklę ir negali kalbėti, kvėpuoti ar kosėti. Ką slaugytojas turėtų daryti pirmiausia?

1. APalaukti, ar pacientas iškosės
2. BAklai šluoti burną pirštu
3. CDuoti pacientui stiklinę vandens maistui nuplauti
4. DPasišaukti pagalbos ir atlikti smūgius į nugarą bei pilvo spaudimus

A patient with untreated hyperthyroidism has surgery and develops a temperature of 40 °C, a heart rate of 160/min and severe agitation. What is most likely happening?

1. AA normal reaction to pain
2. BMyxedema coma
3. CThyroid storm
4. DOpioid withdrawal

A victim heavily contaminated with an industrial chemical arrives at the emergency department with stable vital signs. What should happen first?

1. ADecontamination before the victim enters the treatment area
2. BTaking the victim straight to the X-ray department
3. CFull assessment inside the main department straight away
4. DPlacing the victim in the waiting room until a doctor is free