Užduočių lapas tema Prioritetų nustatymas ir delegavimas su atsakymais

Which symptoms suggest high blood glucose (hyperglycemia)?

1. ASweating, shaking and a fast pulse
2. BConfusion that improves quickly with juice
3. CSudden hunger with cold, clammy skin
4. DIncreased thirst and passing more urine

Which task can the RN usually assign to an LPN/LVN?

1. AWriting the patient’s initial plan of care
2. BDoing the admission assessment of a new patient
3. CChanging the dressing on a stable, healing wound
4. DTriaging a new arrival in the emergency department

Which triage method is designed for children in mass-casualty incidents?

1. AThe Glasgow Coma Scale
2. BThe Braden Scale
3. CJumpSTART
4. DThe APGAR score

A woman calls to say her husband suddenly has a drooping face and slurred speech. What should the nurse advise?

1. ALet him lie down and see if it improves
2. BCall emergency services now and note the time it started
3. CDrive him to the hospital yourself after he has eaten dinner
4. DBook an appointment with his doctor next week

Atliekant START triažą, nevaikštantis suaugusysis kvėpuoja 22 kartus per minutę, turi stipininės arterijos pulsą ir vykdo paprastus nurodymus, bet turi akivaizdų kojos lūžį. Kokia kategorija jam suteikiama?

1. AJuoda (tikėtina mirtis)
2. BRaudona (neatidėliotina)
3. CGeltona (atidėtina)
4. DŽalia (lengva)

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

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

A patient on peritoneal dialysis has cloudy fluid draining out and abdominal pain. What does this most likely mean?

1. AToo much fluid left in the abdomen after the drain
2. BA normal finding at the end of each exchange
3. CConstipation that will settle with a laxative later today or tomorrow
4. DPeritonitis, which needs prompt reporting and a fluid sample

A patient is admitted with suspected meningococcal meningitis. Which precautions are needed until treatment has been given for long enough?

1. ADroplet precautions
2. BStandard precautions only
3. CContact precautions only
4. DAirborne precautions