Užduočių lapas tema Prioritetų nustatymas ir delegavimas su atsakymais

Kuriuo suaugusiojo radiniu slaugytojas turėtų imtis veiksmų pirmiausia?

1. AŠirdies susitraukimų dažnis 98/min
2. BKvėpavimo dažnis 8/min ir mieguistumas
3. CKraujospūdis 138/88 mmHg ir visiškai budrus
4. DTemperatūra 37,8 °C (100 °F)

Which drug reverses the anticoagulant effect of heparin?

1. ANaloxone
2. BVitamin K
3. CProtamine sulfate
4. DAtropine

In delegation, what does supervision mean?

1. ASigning the delegate’s documentation without checking it
2. BLeaving the delegate to finish without any contact
3. CGuidance, follow-up and evaluation of the delegated task by the nurse
4. DDoing every delegated task yourself to make sure that it is done right

A child with fever and headache develops a purple rash that does not fade when pressed with a glass. What should the nurse do?

1. AGive acetaminophen (paracetamol) and reassess in four hours
2. BApply a soothing cream to the rash
3. CAdvise the family to see their doctor next week
4. DTreat it as an emergency and escalate at once

One day after surgery, a patient walked safely with the RN this morning. The RN now asks a nursing assistant to walk her again. Which instruction is most important?

1. A“Try to finish the walk before the lunch trays arrive.”
2. B“Make sure she wears her own slippers if she has them.”
3. C“Stop and call me at once if she feels dizzy or short of breath.”
4. D“Walk her to the end of the corridor and back twice before lunch.”

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

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

Pacientui su centriniu veniniu kateteriu, šalinant liniją, staiga atsiranda dusulys, krūtinės skausmas ir krintantis SpO₂. Ką slaugytojas daro pirmiausia?

1. APraplauna kateterį fiziologiniu tirpalu užsikimšimui pašalinti
2. BUždengia vietą, paguldo ant kairiojo šono galva žemyn, duoda deguonies ir kviečia pagalbą
3. CPasodina pacientą tiesiai ir greitai baigia šalinti liniją
4. DPaprašo pacientą lėtai ir giliai kvėpuoti ir tęsia

Which assignment by the charge nurse should be changed?

1. AAn LPN/LVN is assigned to give oral medications to stable patients
2. BA nursing assistant is assigned to help several stable patients with their meals
3. CAn LPN/LVN is assigned to admit a new patient from the emergency department
4. DAn RN is assigned to a patient receiving a blood transfusion