Užduočių lapas tema Prioritetų nustatymas ir delegavimas su atsakymais

Which symptoms are classic signs of digoxin toxicity?

1. AA rash, high fever and swollen lymph nodes in the neck
2. BHigh blood sugar and increased thirst
3. CNausea, poor appetite and yellow-green visual halos
4. DHair loss and weight gain

To which patients do standard precautions apply?

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

A patient has a Glasgow Coma Scale score of 8. What is the main concern?

1. AThe patient only has a mild headache
2. BThe patient is fully alert and oriented
3. CThe patient can safely eat and drink without help
4. DThe patient may not be able to protect the airway

A nurse cannot read part of a medication order. What should the nurse do?

1. AContact the prescriber to clarify the order before giving the drug
2. BSkip the drug and not tell anyone until the next ward round
3. CAsk another nurse to guess what the order most likely says, then give it
4. DGive the usual dose of the drug the nurse thinks was meant

A nurse teaches a patient about sublingual nitroglycerin tablets. Which statement shows a need for further teaching?

1. A“I will sit down before I take a tablet.”
2. B“I may get a headache after taking a tablet.”
3. C“I will keep the tablets in their original dark container.”
4. D“I will swallow the tablet with a glass of water.”

A nurse has called the rapid response team for a deteriorating patient. What should the nurse do while waiting for the team?

1. AGive a dose of every as-needed medication on the chart
2. BLeave the patient for a few minutes to find the relatives and explain what is happening
3. CGo to the station to finish documentation for other patients
4. DStay with the patient, give oxygen as prescribed and have recent vital signs ready

An older patient with heart failure is receiving a second unit of blood. She becomes breathless, with crackles in both lungs and a rising blood pressure. What is most likely happening?

1. ATransfusion-associated circulatory overload
2. BAn expected effect of the first unit
3. CHypoglycemia caused by the stored blood product
4. DA mild allergic reaction with hives

Pacientas, sergantis širdies nepakankamumu, dūsta, abiejuose plaučiuose girdimi karkalai. Kuri veiksmų eilė teisinga?

1. APirmiausia pasverti pacientą, tada po keturių valandų iš naujo įvertinti kvėpavimą
2. BPaguldyti pacientą ilsėtis, tada pradėti palaikomuosius skysčius į veną
3. CPirmiausia duoti paskirtus geriamuosius vaistus, tada pasodinti pacientą
4. DPasodinti tiesiai, duoti deguonies pagal paskyrimą, tada kviesti gydytoją