Užduočių lapas tema Prioritetų nustatymas ir delegavimas su atsakymais

Kai prioritetų klausime klausiama, ką daryti „pirmiausia", ko klausiama?

1. AVeiksmo, kurį slaugytojai atlieka dažniausiai įprastos pamainos metu
2. BVienintelio teisingo varianto; kiti klaidingi
3. CVeiksmo, kuriam atlikti reikia daugiausia laiko
4. DŽingsnio, kuris eina prieš kitus, net jei visi teisingi

Kuri paciento problema paprastai yra aukščiausio prioriteto?

1. ANerimas
2. BŪmus skausmas
3. CŽinių apie vaistus trūkumas
4. DKvėpavimo takų obstrukcija

Before giving a medication, how many patient identifiers should the nurse check?

1. AAt least two, such as name and date of birth
2. BOne, the bed number
3. CNone, if the nurse already knows the patient well
4. DOne, the room number

Kuris radinys yra netikėtas ir reikalauja skubaus tolesnio veiksmo?

1. APacientui, gaunančiam heparino infuziją, atsirado naujos juodos, dervos pavidalo išmatos
2. BPacientas, ilgai sergantis LOPL, turi statinės formos krūtinės ląstą
3. CPacientas su žinoma ciroze turi pageltusią odą, kuri nepakito
4. DPacientui praėjus dienai po laparoskopinės tulžies pūslės operacijos skauda dešinį petį

A patient with schizophrenia says voices are telling him to hurt his roommate. What is the priority?

1. ATell him the voices are not real and leave him alone
2. BIgnore the comment, because voices are part of his illness
3. CKeep everyone safe and tell the team, as the risk of harm is high
4. DAsk the roommate to stay in the room with him and help calm him down

A patient has a blood pressure of 210/120 mmHg. Which finding would make this a hypertensive emergency?

1. ANew chest pain or confusion suggesting organ damage
2. BA history of high blood pressure for ten years
3. CForgetting to take the blood pressure tablet this morning
4. DMild anxiety about the high reading on the monitor

A visitor on the ward becomes threatening and shows a knife. What is the nurse’s priority?

1. ATry to take the knife away from the visitor straight away before anyone is hurt
2. BMove away to safety, keep others away and call security or the police
3. CIgnore the visitor and carry on with patient care
4. DArgue with the visitor to persuade them to leave

A nurse teaches a patient to inject enoxaparin at home. Which statement shows a need for further teaching?

1. A“I will inject into the fat of my abdomen, away from the navel.”
2. B“I will tell my doctor if I notice unusual bruising or bleeding.”
3. C“I will change the injection site each time.”
4. D“I will rub the area after the injection to help it absorb.”