Užduočių lapas tema Prioritetų nustatymas ir delegavimas su atsakymais

When is a patient most ready to learn about self-care?

1. AWhen pain is controlled and basic physical needs are met
2. BStraight after hearing bad news about a serious new diagnosis
3. CWhile in severe pain, so the lesson feels important
4. DDuring a period of acute breathlessness

Which serum potassium result should the nurse report to the provider promptly?

1. A6,4 mEq/L (6,4 mmol/L)
2. B4,9 mEq/L (4,9 mmol/L)
3. C3,8 mEq/L (3,8 mmol/L)
4. D4,2 mEq/L (4,2 mmol/L)

Trijų lygių triažo sistemoje kuris pacientas yra neatidėliotinas?

1. ABėrimas tris dienas be karščiavimo
2. BPilvo skausmas dvi dienas su normaliais gyvybiniais rodikliais
3. CKrūtinės skausmas su prakaitavimu ir dusuliu
4. DPrašymas pakartotiniam receptui

A patient with asthma uses a peak flow meter. A reading below 50% of personal best is in the red zone. Which statement shows correct understanding?

1. A“I will use my reliever inhaler and get emergency help straight away.”
2. B“I will go for a short run to open up my lungs.”
3. C“I will stop all my inhalers until the reading is back up.”
4. D“I will wait until tomorrow morning to see if the reading gets better on its own.”

Which practice makes a shift handover safest?

1. AA quick chat in the corridor with no notes taken
2. BA structured format, such as SBAR, with time for questions
3. CLeaving a sticky note on the computer screen for the next nurse
4. DHanding over only the patients who had problems during the shift

Which action by a nursing assistant needs the nurse to step in?

1. ATaking an oral temperature just after the patient drank cold water
2. BPutting the call light within the patient’s reach
3. CCleaning hands before entering the room
4. DLowering the bed to its lowest position and locking the wheels after care

Which finding after a laparoscopic cholecystectomy is expected and needs only reassurance and comfort measures?

1. AIncreasing abdominal pain with a temperature of 39 °C
2. BA heart rate of 125/min with a falling blood pressure
3. CRight shoulder pain from the gas used during surgery
4. DYellow skin with dark urine on the second day

Skubios pagalbos skyriuje, kuris pacientas turėtų iškart eiti į procedūrų kambarį?

1. A30 metų pacientas, dvi dienas skundžiantis gerklės skausmu ir 38,0 °C temperatūra
2. B60 metų vyras su krūtinės spaudimu, prakaitavimu ir pykinimu 20 minučių
3. C45 metų pacientas, prašantis pakartotinio recepto
4. D25 metų pacientas su išnirusiu riešu ir normaliais gyvybiniais rodikliais