Užduočių lapas tema Prioritetų nustatymas ir delegavimas su atsakymais

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Vardas: ____________________   Data: ____________

1.Lengvas

Once a nursing assistant has accepted a delegated task, who is responsible for doing it correctly?

  1. ANobody, once the task has been delegated
  2. BThe assistant who accepted the task
  3. CThe patient receiving the care
  4. DOnly the nurse manager
2.Lengvas

Which pain scale is designed for infants and young children who cannot describe their pain?

  1. AThe FLACC scale
  2. BThe Glasgow Coma Scale
  3. CThe Braden Scale
  4. DThe Morse Fall Scale
3.Lengvas

Which white blood cell count suggests an infection or inflammation?

  1. A8,200/mm³ (8,2 × 10⁹/L)
  2. B6,500/mm³ (6,5 × 10⁹/L)
  3. C7,000/mm³ (7 × 10⁹/L)
  4. D18,000/mm³ (18 × 10⁹/L)
4.Vidutinis

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

  1. AMeasure blood pressure on the left arm only, every 4 hours
  2. BDo not measure blood pressure on the left arm
  3. CHelp the patient carry shopping bags on the left arm
  4. DKeep the left arm wrapped tightly in a bandage at night
5.Vidutinis

Kurį pacientą slaugytojas gali saugiai pamatyti paskutinį?

  1. APacientą su staigiu stipriu galvos skausmu
  2. BPacientą praėjus dviem valandoms po operacijos, kurio širdies susitraukimų dažnis didėja nuo 88 iki 118/min
  3. CPacientą, sergantį LOPL, gaunantį 1 L/min deguonies, SpO₂ 90 % (tikslas 88–92 %), kalbantį pilnais sakiniais
  4. DPacientą su naujais karkalais ir rausvais, putotais skrepliais
6.Vidutinis

Which SBAR recommendation is the clearest?

  1. A“I will keep watching him and call again tomorrow.”
  2. B“He seems a bit off tonight, so maybe you could come up and do something about it.”
  3. C“I would like you to see him within 15 minutes and consider a fluid bolus.”
  4. D“I just wanted to let you know about him.”
7.Sunkus

A patient who is 7 weeks pregnant has one-sided lower abdominal pain, pain in the shoulder tip, a heart rate of 120/min and a blood pressure of 88/54 mmHg. What is most likely?

  1. AA ruptured ectopic pregnancy
  2. BA normal early pregnancy
  3. CA urinary tract infection
  4. DSevere morning sickness
8.Sunkus

A patient in hypovolemic shock is receiving IV fluids. Which finding best shows that the treatment is working?

  1. AA heart rate that keeps rising after each bag of fluid
  2. BUrine output at least 0,5 mL/kg/h and clearer thinking
  3. CCooler, paler skin on the arms and legs
  4. DNew crackles at both lung bases

Atsakymai

  1. 1. B · The assistant who accepted the task
  2. 2. A · The FLACC scale
  3. 3. D · 18,000/mm³ (18 × 10⁹/L)
  4. 4. B · Do not measure blood pressure on the left arm
  5. 5. C · Pacientą, sergantį LOPL, gaunantį 1 L/min deguonies, SpO₂ 90 % (tikslas 88–92 %), kalbantį pilnais sakiniais
  6. 6. C · “I would like you to see him within 15 minutes and consider a fluid bolus.”
  7. 7. A · A ruptured ectopic pregnancy
  8. 8. B · Urine output at least 0,5 mL/kg/h and clearer thinking

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