Užduočių lapas tema Prioritetų nustatymas ir delegavimas su atsakymais

Which laboratory finding is expected in a patient with chronic kidney disease who receives dialysis?

1. AA low serum creatinine
2. BA platelet count of 900,000/mm³
3. CA serum sodium of 160 mEq/L
4. DA raised serum creatinine

Which strategy helps a nurse organize care at the start of a shift?

1. ARank the tasks by urgency after report and plan the time around them
2. BWait until problems come up and then decide what to do
3. CDo the tasks in strict order of room number, whatever their urgency
4. DDo the quickest tasks first so the list gets shorter

In mmHg, what is the normal range for arterial PaCO₂?

1. A80–100 mmHg
2. B7,35–7,45 mmHg
3. C22–26 mmHg
4. D35–45 mmHg

A nurse teaches a patient about sublingual nitroglycerin tablets. Which statement shows a need for further teaching?

1. A“I may get a headache after taking a tablet.”
2. B“I will keep the tablets in their original dark container.”
3. C“I will swallow the tablet with a glass of water.”
4. D“I will sit down before I take a tablet.”

A patient at 35 weeks of pregnancy with high blood pressure calls the clinic. Which symptom needs urgent assessment?

1. ANeeding to pass urine more often
2. BMild ankle swelling at the end of the day
3. CA severe headache with blurred vision
4. DBackache after a long walk

Which finding is an early sign of compartment syndrome in a patient with a lower leg fracture?

1. AA strong pedal pulse with warm, pink toes and pain that settles with analgesia
2. BMild bruising around the fracture site on the second day
3. CPain out of proportion to the injury that worsens when the toes are stretched
4. DItching under the cast during the first week after it was applied

Kuriam pacientui slaugytojas turi skirti dėmesio pirmiausia?

1. APacientui, kuris sako, kad tai „blogiausias galvos skausmas gyvenime", prasidėjęs staiga, kraujospūdis 170/100 mmHg
2. BPacientui, ilgai sergančiam hipertenzija, kurio kraujospūdis 158/94 mmHg ir kuris simptomų neturi
3. CPacientui, sergančiam lėtiniu nugaros skausmu, prašančiam šilto kompreso
4. DPacientui, kuriam žinoma migrena ir kuris turi įprastą galvos skausmą

A patient with Guillain-Barré syndrome has weakness that is spreading up from the legs. Which assessment has the highest priority?

1. ABreathing strength, such as vital capacity and the ability to cough
2. BSkin condition over the heels
3. CThe patient’s mood and coping
4. DMuscle strength in the feet and ankles at the start of each morning