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

What should the nurse try before using physical restraints on a confused patient?

1. ARestraining all four limbs to be fully safe
2. BAsking the family to bring restraints from home
3. CLess restrictive measures, such as more frequent checks or a bed alarm
4. DUsing restraints at once and removing them later if they turn out not to be needed

Which task is appropriate to delegate to a nursing assistant?

1. AGiving a stable patient their oral medications
2. BAssessing a pressure injury on the sacrum
3. CFeeding a stable patient who has no swallowing problems
4. DFeeding a patient with newly diagnosed dysphagia after a stroke

Registruotasis slaugytojas sako slaugytojo padėjėjui: „Patikrink pacientą 12 palatoje." Kokios delegavimo „teisingos" sąlygos trūksta?

1. ATeisingų nurodymų ir bendravimo
2. BTeisingų aplinkybių
3. CAplinkai tinkamos užduoties
4. DUžduočiai tinkamo asmens

A patient on hemodialysis has an arteriovenous fistula in the left arm. Which instruction should the nurse give the nursing assistant?

1. ADo not measure blood pressure on the left arm
2. BHelp the patient carry shopping bags on the left arm
3. CMeasure blood pressure on the left arm only, every 4 hours
4. DKeep the left arm wrapped tightly in a bandage at night

Which patient should the RN see first after receiving a report from the night nurse?

1. ADay 1 after bowel surgery, new chest pain and heart rate 110/min
2. BDay 2 after bowel surgery, asking to start a soft diet
3. CDay 3 after bowel surgery, wants a shower and hair wash before breakfast
4. DDay 4 after bowel surgery, waiting for discharge teaching

A chemical cleaning fluid splashes into a patient’s eye. What should the nurse do first?

1. AGive antibiotic eye drops first
2. BRub the eye gently with a clean tissue to remove the chemical
3. CFlush the eye with plenty of water or saline straight away
4. DCover the eye with a dry patch and wait for the provider

Atliekant START triažą, suaugusysis nekvėpuoja. Kvėpavimo takų padėtis pakeista, bet auka vis tiek nekvėpuoja. Kokia teisinga kategorija?

1. AGeltona ir grįžti vėliau
2. BRaudona ir nedelsiant pradėti gaivinimą
3. CRaudona, nes kvėpavimo nebuvimas yra skubiausias radinys
4. DJuoda (mirę arba tikėtina mirtis)