Užduočių lapas tema Prioritetų nustatymas ir delegavimas su atsakymais

Which resting heart rate in an adult is bradycardia?

1. A72/min
2. B88/min
3. C46/min
4. D64/min

Which fasting blood glucose value is normal for an adult without diabetes?

1. A210 mg/dL (11,7 mmol/L)
2. B55 mg/dL (3,1 mmol/L)
3. C85 mg/dL (4,7 mmol/L)
4. D145 mg/dL (8,0 mmol/L)

Trijų lygių triažo sistemoje kuris pacientas yra neatidėliotinas?

1. AKrūtinės skausmas su prakaitavimu ir dusuliu
2. BBėrimas tris dienas be karščiavimo
3. CPilvo skausmas dvi dienas su normaliais gyvybiniais rodikliais
4. DPrašymas pakartotiniam receptui

An anxious patient is breathing very fast and has tingling fingers. The blood gas shows pH 7,51 and PaCO₂ 29 mmHg (3,9 kPa). What should the nurse do first?

1. AGive oxygen at the highest flow and leave the room
2. BStay with the patient and coach slow, calm breathing
3. CGive IV sodium bicarbonate as soon as it can be found
4. DEncourage the patient to breathe even faster

A nurse teaches a patient who uses home oxygen. Which statement shows a need for further teaching?

1. A“My husband can smoke in my room if the window is open.”
2. B“I will not use oil-based creams on my face.”
3. C“I will put up no-smoking signs at the front door and in my room.”
4. D“I will keep the oxygen away from the gas stove.”

A patient has a reddened area on the sacrum that does not blanch when pressed. What is the priority action?

1. AMassage the area firmly to improve the blood flow to the skin
2. BKeep the patient lying on the back to protect the area
3. CApply a heat pad to the area to increase circulation
4. DRelieve pressure on the area by changing position regularly

A patient with COPD on 2 L/min oxygen becomes drowsy and hard to wake. The SpO₂ is 93%. What is the priority?

1. AAssess breathing and escalate for a blood gas, as carbon dioxide may be rising
2. BIncrease the oxygen to 6 L/min so that the saturation goes even higher than now
3. CLet the patient sleep, because the saturation is above target
4. DGive the as-needed sedative so the patient rests comfortably

A patient receiving comfort-focused end-of-life care is distressed by breathlessness. Which approach is most appropriate?

1. AGive prescribed opioids and use positioning and a fan to relieve breathlessness
2. BLeave the patient alone so they can rest
3. CStart a series of aggressive tests to find the exact cause of the breathlessness
4. DWithhold all opioids because they may slow breathing