Užduočių lapas tema Prioritetų nustatymas ir delegavimas su atsakymais

Who is responsible for developing the nursing plan of care?

1. AThe ward clerk
2. BThe registered nurse
3. CThe LPN/LVN alone
4. DThe nursing assistant

Which serum lithium level suggests toxicity?

1. A2,2 mEq/L
2. B1,0 mEq/L
3. C0,7 mEq/L
4. D0,8 mEq/L

What is the purpose of an early warning score, such as the National Early Warning Score (NEWS)?

1. ATo calculate the correct drug doses for each patient
2. BTo measure the patient’s satisfaction with care
3. CTo decide the patient’s diet
4. DTo spot deterioration early from routine vital signs

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

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

A patient’s peripheral IV site is swollen, pale and cool, and the infusion has slowed. What should the nurse do first?

1. AStop the infusion and remove the cannula
2. BIncrease the infusion rate to overcome the resistance
3. CFlush the cannula hard to clear the blockage
4. DApply a tight bandage over the site to reduce swelling

After a hip replacement, a patient has sudden severe hip pain, and the operated leg looks shorter and turned. What should the nurse suspect?

1. ADislocation of the new hip
2. BA urinary tract infection
3. CA pressure injury on the heel
4. DNormal pain after surgery

A chemical cleaning fluid splashes into a patient’s eye. What should the nurse do first?

1. AGive antibiotic eye drops first
2. BFlush the eye with plenty of water or saline straight away
3. CRub the eye gently with a clean tissue to remove the chemical
4. DCover the eye with a dry patch and wait for the provider

A child is admitted with a suspected Wilms tumor (nephroblastoma). Which instruction is most important for all staff?

1. ADo not palpate the abdomen
2. BGive a warm bath with abdominal massage
3. CEncourage the child to play contact sports
4. DMeasure abdominal girth by pressing firmly