Užduočių lapas tema Prioritetų nustatymas ir delegavimas su atsakymais

Which finding should a nursing assistant report to the nurse at once?

1. AA patient who would like tea instead of coffee
2. BA pulse of 42/min in a patient whose usual pulse is 76/min
3. CA patient whose weight is unchanged from yesterday
4. DA patient who wants to shower in the evening

In the AVPU scale, what does the P mean?

1. APain score below 5
2. BResponds only to pain
3. CPupils equal and reactive
4. DPulse present and regular

Which statement about pulse oximetry is correct?

1. AIt shows the patient’s blood glucose
2. BCold fingers or nail polish can give an inaccurate reading
3. CIt measures the carbon dioxide in the blood
4. DThe reading is always correct, whatever finger or hand is used

A nurse cannot read part of a medication order. What should the nurse do?

1. ASkip the drug and not tell anyone until the next ward round
2. BContact the prescriber to clarify the order before giving the drug
3. CAsk another nurse to guess what the order most likely says, then give it
4. DGive the usual dose of the drug the nurse thinks was meant

A patient on a medical unit tells the nurse he has a plan to end his life and has saved tablets at home. What is the priority action?

1. AEnsure constant observation and remove anything he could use to harm himself
2. BAsk him to promise he will not harm himself
3. CArrange a psychiatry appointment for next week
4. DReassure him that things usually look better in the morning after some sleep

Slaugytoja, paprastai dirbanti akušerijoje, perkeliama į suaugusiųjų terapijos skyrių. Kurį pacientą tinkamiausia paskirti šiai slaugytojai?

1. APacientą, kuriam nuolat infuzuojamas insulinas dėl diabetinės ketoacidozės
2. BPacientą, sergantį pneumonija, stabilų vartojant geriamuosius antibiotikus
3. CPacientą su nauja tracheostoma
4. DPacientą su aktyviu viršutinio virškinimo trakto kraujavimu

A patient with a severe asthma attack had a PaCO₂ of 32 mmHg (4,3 kPa) on arrival. An hour later it is 46 mmHg (6,1 kPa), and the patient seems tired. What does this suggest?

1. ARespiratory muscle fatigue with possible impending respiratory failure
2. BThe patient is hyperventilating even more than before and needs calming
3. CA laboratory error that should be ignored
4. DThe asthma is improving, because the PaCO₂ is now near normal

A patient’s serum potassium is 6,1 mEq/L. Which of the patient’s medications should the nurse question first?

1. AHydrochlorothiazide
2. BFurosemide
3. COmeprazole
4. DSpironolactone