Užduočių lapas tema Prioritetų nustatymas ir delegavimas su atsakymais
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Vardas: ____________________ Data: ____________
1.Lengvas
In US patient-safety terms (The Joint Commission), what is a sentinel event?
AAn unexpected event that causes death or serious harm
BA minor error that was noticed but caused no harm at all
CA planned admission to intensive care
DA routine handover between shifts
2.Lengvas
What does a “STAT” order mean?
ACarry it out immediately
BCarry it out within the next 24 hours
CCarry it out only if the patient asks for it
DCarry it out at the next routine round
3.Lengvas
Slaugytojo padėjėjas praneša apie keturis radinius. Kurį slaugytojas turėtų patikrinti pirmiausia?
APacientą, kuris prašo dar vieno pledo
BPacientą, kuris nori paskambinti artimajam
CPacientą, kuris staiga negali pajudinti dešinės rankos
DPacientą, kurio pusryčių padėklas nesuvalgytas
4.Vidutinis
Which action by a nursing assistant needs the nurse to step in?
ALowering the bed to its lowest position and locking the wheels after care
BPutting the call light within the patient’s reach
CTaking an oral temperature just after the patient drank cold water
DCleaning hands before entering the room
5.Vidutinis
A patient is receiving continuous tube feeds. Which action best reduces the risk of aspiration?
AKeep the head of the bed raised to at least 30 degrees
BLay the patient flat for an hour after each bag is hung
CTurn the feed off only while the patient is asleep at night
DIncrease the feed rate so the stomach empties sooner
6.Vidutinis
A nurse teaches a patient to use an incentive spirometer. Which statement shows a need for further teaching?
A“I will breathe in slowly and deeply through the mouthpiece.”
B“I will try to hold my breath for a few seconds at the top.”
C“I will use it several times every hour while awake.”
D“I will blow into it as hard and fast as I can.”
7.Sunkus
An older patient with heart failure is receiving a second unit of blood. She becomes breathless, with crackles in both lungs and a rising blood pressure. What is most likely happening?
ATransfusion-associated circulatory overload
BAn expected effect of the first unit
CHypoglycemia caused by the stored blood product
DA mild allergic reaction with hives
8.Sunkus
Atliekant START triažą, nevaikštantis suaugusysis kvėpuoja 28 kartus per minutę, neturi stipininės arterijos pulso, o jo kapiliarų prisipildymas 4 sekundės. Kokia kategorija jam suteikiama?
AGeltona (atidėtina), nes kvėpavimo dažnis mažesnis nei 30/min
BJuoda (tikėtina mirtis)
CRaudona (neatidėliotina)
DŽalia (lengva)
Atsakymai
1. A · An unexpected event that causes death or serious harm
2. A · Carry it out immediately
3. C · Pacientą, kuris staiga negali pajudinti dešinės rankos
4. C · Taking an oral temperature just after the patient drank cold water
5. A · Keep the head of the bed raised to at least 30 degrees
6. D · “I will blow into it as hard and fast as I can.”
7. A · Transfusion-associated circulatory overload
8. C · Raudona (neatidėliotina)
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