Užduočių lapas tema Prioritetų nustatymas ir delegavimas su atsakymais

Ką masinių nelaimių triaže reiškia juoda žymė?

1. AMirę arba mažai tikėtina išgyventi turimais ištekliais
2. BLengvi sužalojimai, kurie gali palaukti daug valandų
3. CAukščiausias gydymo prioritetas iš visų aukų
4. DUžkrėsta, reikia visiškos dekontaminacijos prieš teikiant bet kokią pagalbą

What does a “STAT” order mean?

1. ACarry it out at the next routine round
2. BCarry it out within the next 24 hours
3. CCarry it out immediately
4. DCarry it out only if the patient asks for it

Which protective equipment is needed for droplet precautions?

1. AA lead apron and goggles
2. BGloves only, with no mask
3. CA fitted N95 respirator at all times in the room
4. DA surgical mask when close to the patient

A nurse has called the rapid response team for a deteriorating patient. What should the nurse do while waiting for the team?

1. AGo to the station to finish documentation for other patients
2. BGive a dose of every as-needed medication on the chart
3. CLeave the patient for a few minutes to find the relatives and explain what is happening
4. DStay with the patient, give oxygen as prescribed and have recent vital signs ready

Slaugytojas prašo slaugytojo padėjėjo „įvertinti paciento skausmą ir nuspręsti, ar pacientui reikia daugiau vaistų". Kuri delegavimo „teisinga" sąlyga pažeista?

1. ATeisingas asmuo
2. BTeisingos aplinkybės
3. CTeisinga priežiūra ir vertinimas
4. DTeisinga užduotis

A patient on a continuous IV heparin infusion has new black, tarry stools and an aPTT well above the target range. What should the nurse do first?

1. ACheck the pump rate and leave the infusion running
2. BOffer an iron-rich meal to replace the lost blood
3. CGive a dose of vitamin K by mouth
4. DStop the heparin infusion and inform the provider

A patient on peritoneal dialysis has cloudy fluid draining out and abdominal pain. What does this most likely mean?

1. AConstipation that will settle with a laxative later today or tomorrow
2. BA normal finding at the end of each exchange
3. CPeritonitis, which needs prompt reporting and a fluid sample
4. DToo much fluid left in the abdomen after the drain

A patient with severe sepsis starts oozing blood from IV sites and the gums, and bruises appear on the skin. What should the nurse suspect?

1. ANormal bruising from blood tests
2. BAn allergic reaction to the adhesive tape
3. CDisseminated intravascular coagulation (DIC)
4. DVitamin C deficiency