Užduočių lapas tema Prioritetų nustatymas ir delegavimas su atsakymais

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

1. ANothing by mouth
2. BNormal patient observations
3. CNot for physical therapy
4. DNo pain observed

What is a “critical value” in laboratory testing?

1. AA result that is slightly outside the normal range and can wait for the ward round
2. BA result that is needed only for research
3. CA result that may be life-threatening and must be reported at once
4. DA result that the patient has asked to see

How many rights of delegation are commonly taught?

1. AFive
2. BThree
3. CTen
4. DSeven

Which SBAR recommendation is the clearest?

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

A nurse teaches a patient to use an incentive spirometer. Which statement shows a need for further teaching?

1. A“I will use it several times every hour while awake.”
2. B“I will try to hold my breath for a few seconds at the top.”
3. C“I will blow into it as hard and fast as I can.”
4. D“I will breathe in slowly and deeply through the mouthpiece.”

After a hip replacement using a posterior approach, which statement shows a need for further teaching?

1. A“I will use a raised toilet seat at home.”
2. B“I will keep a pillow between my knees when I lie on my side in bed.”
3. C“I will cross my legs when I sit, so I am more comfortable.”
4. D“I will not bend my hip past 90 degrees.”

The charge nurse overhears four instructions from an RN to a nursing assistant. Which one needs to be corrected?

1. A“Check his glucose before lunch and tell me the number straight away.”
2. B“Walk him to the bathroom and back, and stay with him the whole time.”
3. C“Check his glucose and give the insulin according to the sliding scale.”
4. D“Help him wash and change, and tell me at once if you see any red or broken skin.”

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

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