Užduočių lapas tema Prioritetų nustatymas ir delegavimas su atsakymais

To which patients do standard precautions apply?

1. AOnly patients with an open wound
2. BAll patients, whether or not an infection is known
3. COnly patients with a confirmed infection on a lab test
4. DOnly patients in intensive care

When a nurse receives a critical lab result by phone, what does “read-back” mean?

1. AReading the result aloud to the patient straight away
2. BReading the result to the next shift at handover
3. CWaiting for the written report before doing anything
4. DRepeating the result back to the caller to confirm it

Nustatant prioritetus, „tikėtinas" radinys yra tas, kuris:

1. AVisada reikalauja nedelsiant kviesti skubaus reagavimo komandą
2. BAtitinka žinomą paciento būklę ar gydymą
3. CVisada patenka į normalaus suaugusiojo atskaitos intervalą
4. DBuvo numatytas paciento ar šeimos

Which action helps prevent a catheter-associated urinary tract infection?

1. AKeeping the drainage bag below the level of the bladder
2. BDisconnecting the bag every shift to empty it
3. CRaising the drainage bag above the bladder when walking
4. DLeaving the catheter in place longer than needed

A patient has a reddened area on the sacrum that does not blanch when pressed. What is the priority action?

1. ARelieve pressure on the area by changing position regularly
2. BMassage the area firmly to improve the blood flow to the skin
3. CKeep the patient lying on the back to protect the area
4. DApply a heat pad to the area to increase circulation

A nurse teaches a patient who uses home oxygen. Which statement shows a need for further teaching?

1. A“I will keep the oxygen away from the gas stove.”
2. B“I will put up no-smoking signs at the front door and in my room.”
3. C“My husband can smoke in my room if the window is open.”
4. D“I will not use oil-based creams on my face.”

A trauma patient has an open leg fracture, absent breath sounds on one side, a trachea shifted to the other side and a falling blood pressure. Which problem is the priority?

1. AThe suspected tension pneumothorax
2. BThe open fracture of the leg
3. CThe risk of wound infection
4. DThe pain from the fracture

A day after a femur fracture, a young patient becomes confused and breathless, with small red spots on the chest. What should the nurse suspect?

1. AAn allergic reaction to the cast
2. BFat embolism syndrome
3. CNormal pain after a fracture
4. DAlcohol withdrawal