Užduočių lapas tema Prioritetų nustatymas ir delegavimas su atsakymais

Which statement belongs in the Background part of an SBAR report?

1. A“I would like you to see him within the next 15 minutes.”
2. B“I think he may be developing sepsis.”
3. C“He was admitted three days ago with pneumonia and also has COPD.”
4. D“I am calling about Mr Khan because his blood pressure has dropped.”

Which task should the registered nurse not delegate to a nursing assistant?

1. AEvaluating whether the patient understood discharge teaching
2. BGiving a bed bath to a stable patient
3. CWalking a stable patient up and down the corridor after lunch
4. DMaking an occupied bed

Pacientui nustatyta nauja giliųjų venų trombozė, be to, jis sako jaučiantis vienatvę skyriuje. Pagal Maslou hierarchiją, kuris poreikis pirmas?

1. ASavęs aktualizavimo poreikis
2. BSavigarbos ir pagarbos poreikis
3. CSu tromboze susijęs fiziologinis poreikis
4. DMeilės ir priklausymo poreikis hospitalizacijos metu

A patient receiving IV magnesium sulfate for pre-eclampsia has absent knee reflexes and a respiratory rate of 10/min. What does the nurse do first?

1. AIncrease the infusion to prevent a seizure
2. BTurn the patient onto her back and recheck later
3. CGive oral fluids to help clear the drug faster
4. DStop the magnesium infusion and call for help

A patient with severe neutropenia needs a room. Which roommate is the safest choice?

1. AA patient with an infected, draining leg wound
2. BA patient with influenza
3. CA patient with C. difficile diarrhea
4. DA patient after a knee replacement with no signs of infection

Pacientui staiga bėga kraujas iš nosies, jis budrus ir kvėpuoja normaliai. Ką slaugytojas daro pirmiausia?

1. APasodina pacientą, pasvirina jį į priekį ir suspaudžia minkštąją nosies dalį
2. BPaguldo pacientą ant nugaros su pagalve po keliais
3. CAtloškia galvą ir uždeda ledo ant sprando
4. DPaprašo pacientą stipriai nusišnypšti, kad pasišalintų krešuliai

A patient on a cardiac monitor suddenly becomes unresponsive, and the monitor shows ventricular fibrillation. What is the priority once help has been called?

1. AGive an oral antiarrhythmic tablet and recheck the rhythm in five minutes
2. BCheck the blood potassium level before any shock is considered
3. CRecord a full 12-lead ECG to confirm the rhythm before doing anything else at all
4. DDefibrillate as soon as the defibrillator is available, with CPR until then

During birth, the baby’s head delivers but the shoulders do not follow. What should the nurse do first?

1. APull hard on the baby’s head and neck to free the trapped shoulders quickly
2. BAsk the mother to stop pushing and wait an hour
3. CHelp with the McRoberts position and give suprapubic pressure as directed
4. DPush firmly on the top of the uterus (fundal pressure)