Užduočių lapas tema Prioritetų nustatymas ir delegavimas su atsakymais

When is a patient most ready to learn about self-care?

1. ADuring a period of acute breathlessness
2. BWhile in severe pain, so the lesson feels important
3. CStraight after hearing bad news about a serious new diagnosis
4. DWhen pain is controlled and basic physical needs are met

Which serum creatinine result suggests reduced kidney function in an adult?

1. A1,0 mg/dL (about 90 µmol/L)
2. B0,8 mg/dL (about 70 µmol/L)
3. C3,5 mg/dL (about 310 µmol/L)
4. D0,7 mg/dL (about 60 µmol/L)

What does NPO mean on a patient’s care plan?

1. ANot for physical therapy
2. BNo pain observed
3. CNormal patient observations
4. DNothing by mouth

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

1. ABackache after a long walk
2. BNeeding to pass urine more often
3. CMild ankle swelling at the end of the day
4. DA severe headache with blurred vision

A drowsy patient has an arterial blood gas with pH 7,30, PaCO₂ 58 mmHg (7,7 kPa) and HCO₃⁻ 25 mEq/L (mmol/L). Which problem is the priority?

1. AHyperventilation caused by anxiety
2. BToo much bicarbonate from antacids
3. CLoss of bicarbonate from the bowel through severe diarrhea
4. DPoor ventilation causing carbon dioxide to build up

A patient taking lisinopril develops swelling of the lips and tongue. What should the nurse do first?

1. AApply a cold pack and recheck in an hour
2. BAssess the airway and call for urgent help
3. CGive the next dose of lisinopril with water
4. DTell the patient this is a common, harmless effect

Which finding after a laparoscopic cholecystectomy is expected and needs only reassurance and comfort measures?

1. AYellow skin with dark urine on the second day
2. BA heart rate of 125/min with a falling blood pressure
3. CRight shoulder pain from the gas used during surgery
4. DIncreasing abdominal pain with a temperature of 39 °C

Pacientas gauna parenterinę mitybą per centrinę liniją. Kuris radinys reikalauja neatidėliotinų veiksmų?

1. APrakaitavimas, drebulys ir 62 mg/dL (3,4 mmol/L) gliukozė, infuzijai netikėtai nutrūkus
2. BSausas, nepažeistas tvarstis ant linijos
3. C150 mg/dL (8,3 mmol/L) gliukozė, kol vyksta infuzija
4. D0,2 kg svorio padidėjimas nuo vakar