Užduočių lapas tema Prioritetų nustatymas ir delegavimas su atsakymais

Maslou hierarchijoje, kuris lygmuo eina iškart po fiziologinių poreikių?

1. ASavęs aktualizavimas
2. BSavigarba ir pripažinimas
3. CSaugumas ir apsauga
4. DMeilė ir priklausymas

Which hemoglobin result is low for an adult woman?

1. A12,6 g/dL (126 g/L)
2. B7,8 g/dL (78 g/L)
3. C14,0 g/dL (140 g/L)
4. D13,2 g/dL (132 g/L)

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

1. ATell the nurse manager at the end of the shift
2. BComplete an incident report before doing anything else
3. CAssess the patient for any effects of the error
4. DCorrect the entry on the medication record

A nurse teaches a patient with COPD pursed-lip breathing. Which statement shows a need for further teaching?

1. A“I will make my breath out about twice as long as my breath in.”
2. B“I will breathe out slowly through pursed lips.”
3. C“I will breathe in slowly through my nose.”
4. D“I will breathe in through my mouth and out quickly through my nose.”

A patient on a nasal cannula at 6 L/min still has a low SpO₂. What should the nurse do?

1. ATurn the nasal cannula up to 15 L/min
2. BRecheck the SpO₂ at the next routine set of observations in four hours
3. CRemove the oxygen to see if the SpO₂ changes
4. DReport it, because a different oxygen device is likely to be needed

A patient has a new plaster cast that is still drying. How should the nurse handle it?

1. ABy covering it tightly with a plastic sheet
2. BWith the fingertips, pressing firmly to test it
3. CBy resting it directly on a hard surface
4. DWith the palms of the hands, not the fingertips

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

1. A45 metų pacientas, prašantis pakartotinio recepto
2. B60 metų vyras su krūtinės spaudimu, prakaitavimu ir pykinimu 20 minučių
3. C30 metų pacientas, dvi dienas skundžiantis gerklės skausmu ir 38,0 °C temperatūra
4. D25 metų pacientas su išnirusiu riešu ir normaliais gyvybiniais rodikliais

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

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