Užduočių lapas tema Prioritetų nustatymas ir delegavimas su atsakymais

In most settings, which task is kept for the RN rather than assigned to an LPN/LVN?

1. AMeasuring vital signs
2. BReinforcing teaching already given
3. CGiving scheduled oral medications
4. DGiving an IV push medication

Which protective equipment is needed for airborne precautions?

1. AA simple surgical mask worn loosely
2. BGloves only
3. CA plastic apron only
4. DA fit-tested N95 or FFP3 respirator

In delegation, what does supervision mean?

1. ASigning the delegate’s documentation without checking it
2. BLeaving the delegate to finish without any contact
3. CDoing every delegated task yourself to make sure that it is done right
4. DGuidance, follow-up and evaluation of the delegated task by the nurse

A patient uses patient-controlled analgesia (PCA) after surgery. Which statement by a family member shows a need for further teaching?

1. A“I will tell the nurse if she becomes very sleepy or hard to wake.”
2. B“I will press the button for her while she is asleep so she stays comfortable.”
3. C“Only she should press the button when she needs pain relief.”
4. D“The pump has limits set by the nurse so she cannot get too much at once.”

Atliekant START triažą, nevaikštantis suaugusysis kvėpuoja 22 kartus per minutę, turi stipininės arterijos pulsą ir vykdo paprastus nurodymus, bet turi akivaizdų kojos lūžį. Kokia kategorija jam suteikiama?

1. AJuoda (tikėtina mirtis)
2. BŽalia (lengva)
3. CRaudona (neatidėliotina)
4. DGeltona (atidėtina)

A patient has a serum potassium of 2,9 mEq/L. Which finding should the nurse expect?

1. AA rise in urine output and thirst only
2. BFlushed, warm skin and a slow heart rate
3. CTall, peaked T waves and muscle twitching
4. DMuscle weakness and U waves on the ECG

Two call lights go on at the same time. One patient has pain of 7/10 after surgery. The other is a confused patient at high risk of falls who is climbing out of bed alone. Who does the nurse go to first?

1. AThe patient in pain after surgery
2. BThe confused patient climbing out of bed
3. CWhichever patient’s room is closer to the station
4. DThe patient whose call light went on first

Pacientui, kuriam kraujuoja iš viršutinio virškinimo trakto, širdies susitraukimų dažnis 128/min, kraujospūdis 84/50 mmHg. Visa tai paskirta. Ką slaugytojas pradeda pirmiausia?

1. AGeriamąsias geležies tabletes
2. BDiagnostinės endoskopijos užsakymą kitam rytui
3. CProtonų siurblio inhibitoriaus infuziją į veną
4. DSkysčius ar kraują į veną per didelio kalibro kaniules