Užduočių lapas tema Prioritetų nustatymas ir delegavimas su atsakymais
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Vardas: ____________________ Data: ____________
1.Lengvas
In a three-level triage system, what does “urgent” mean?
ALife-threatening and needs care immediately
BAlready deceased on arrival
CSerious but stable for now, and needs care soon
DMinor, and can safely wait for several hours
2.Lengvas
What is a transient ischemic attack (TIA)?
AA heart attack that affects the brain
BA stroke that leaves permanent weakness or paralysis on one side of the body
CBrief stroke-like symptoms that resolve, warning of a possible stroke
DA type of migraine with no link to stroke
3.Lengvas
Kokią kategoriją masinių nelaimių triaže paprastai žymi žalia žymė?
ANeatidėliotina: reikia gydyti nedelsiant
BLengvi sužalojimai: „vaikštantys sužeistieji"
CAtidėtina: sunkūs, bet šiuo metu stabilūs sužalojimai
DMirę arba tikėtina mirtis
4.Vidutinis
Which patient is at the highest risk of falling?
AA 45-year-old with asthma who is alert and independent
BAn 84-year-old taking a diuretic who has fallen before and gets up at night
CA 30-year-old after an appendectomy who walks with steady steps
DA 60-year-old admitted for chest pain that has since been ruled out by tests
5.Vidutinis
A patient has a serum potassium of 2,9 mEq/L. Which finding should the nurse expect?
AFlushed, warm skin and a slow heart rate
BA rise in urine output and thirst only
CTall, peaked T waves and muscle twitching
DMuscle weakness and U waves on the ECG
6.Vidutinis
A nurse sees a nursing assistant leave a confused patient’s bed in the highest position after care. What should the nurse do?
ALeave it because the patient is asleep
BWrite it in the assistant’s yearly review only
CAsk the family to lower the bed when they next visit
DLower the bed now and remind the assistant why it matters
7.Sunkus
A trauma patient has an open leg fracture, absent breath sounds on one side, a trachea shifted to the other side and a falling blood pressure. Which problem is the priority?
AThe pain from the fracture
BThe risk of wound infection
CThe suspected tension pneumothorax
DThe open fracture of the leg
8.Sunkus
Stebimas pacientas su galvos trauma ir kojos lūžiu. Kuris radinys yra prioritetas?
AGlazgo komos skalės balas krenta nuo 15 iki 12
BPacientas prašo ko nors paskanauti
CNedidelis nubrozdinimas ant alkūnės
D6/10 kojos skausmas, nepaisant paskutinės nuskausminamojo dozės
Atsakymai
1. C · Serious but stable for now, and needs care soon
2. C · Brief stroke-like symptoms that resolve, warning of a possible stroke
3. B · Lengvi sužalojimai: „vaikštantys sužeistieji"
4. B · An 84-year-old taking a diuretic who has fallen before and gets up at night
5. D · Muscle weakness and U waves on the ECG
6. D · Lower the bed now and remind the assistant why it matters
7. C · The suspected tension pneumothorax
8. A · Glazgo komos skalės balas krenta nuo 15 iki 12
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