Užduočių lapas tema Prioritetų nustatymas ir delegavimas su atsakymais

To which patients do standard precautions apply?

1. AOnly patients in intensive care
2. BAll patients, whether or not an infection is known
3. COnly patients with an open wound
4. DOnly patients with a confirmed infection on a lab test

Užduotis, kuriai reikia vertinimo, slaugos sprendimo ar įvertinimo, turėtų būti:

1. APavesta paciento šeimai
2. BAtlikta registruotojo slaugytojo
3. CVisada deleguota LPN/LVN
4. DDeleguota patyrusiam slaugytojo padėjėjui

In Maslow’s hierarchy of needs, which level sits at the top?

1. ASafety and security
2. BEsteem
3. CSelf-actualization
4. DLove and belonging

During a blood transfusion, a patient develops chills, back pain and a fever. What is the nurse’s first action?

1. AStop the transfusion and keep the IV open with normal saline via new tubing
2. BFinish the unit quickly through a pressure bag so that the reaction does not last long
3. CGive an antipyretic and continue the transfusion
4. DSlow the transfusion and recheck in an hour

A patient uses patient-controlled analgesia (PCA) after surgery. Which statement by a family member shows a need for further teaching?

1. A“I will tell the nurse if she becomes very sleepy or hard to wake.”
2. B“I will press the button for her while she is asleep so she stays comfortable.”
3. C“Only she should press the button when she needs pain relief.”
4. D“The pump has limits set by the nurse so she cannot get too much at once.”

A patient is receiving opioids after surgery. Which finding usually comes before opioid-induced respiratory depression?

1. AA sudden rise in pain scores
2. BIncreased appetite and thirst
3. CA rise in blood pressure with flushed cheeks
4. DIncreasing sleepiness that is hard to rouse

A patient was knocked out briefly in a fall, then woke and talked normally. Two hours later the patient becomes drowsy and one pupil is larger. What is the most likely cause?

1. ALow blood sugar from missing a meal
2. BA mild concussion that is settling
3. CAn epidural hematoma
4. DNormal tiredness after a fall

Slaugytojas prižiūri naują slaugytojo padėjėją. Kada slaugytojas turėtų atidžiausiai tikrinti padėjėjo darbą?

1. AKai padėjėjas naujas užduotyje arba pacientas mažiau stabilus
2. BTik kai padėjėjas prašo pagalbos dėl užduoties, kurią mano sunkia
3. CNiekada, nes padėjėjas turi pažymėjimą šiam vaidmeniui
4. DTik pamainos pabaigoje, kai peržiūrimi dokumentai