Užduočių lapas tema Prioritetų nustatymas ir delegavimas su atsakymais

In stroke care, what does the “last known well” time mean?

1. AThe last time the patient was seen without stroke symptoms
2. BThe time of the patient’s last meal
3. CThe time the patient arrived at the hospital and was triaged
4. DThe time the first symptom was noticed by a stranger

Which strategy helps a nurse organize care at the start of a shift?

1. AWait until problems come up and then decide what to do
2. BRank the tasks by urgency after report and plan the time around them
3. CDo the quickest tasks first so the list gets shorter
4. DDo the tasks in strict order of room number, whatever their urgency

In delegation, what does supervision mean?

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

A patient speaks little English, and the nurse needs to explain a new procedure. What is the best way to communicate?

1. ASpeak loudly and slowly in English
2. BUse a professional medical interpreter
3. CAsk the patient’s 10-year-old child to translate
4. DUse hand gestures and hope the patient understands

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. BAtloškia galvą ir uždeda ledo ant sprando
3. CPaguldo pacientą ant nugaros su pagalve po keliais
4. DPaprašo pacientą stipriai nusišnypšti, kad pasišalintų krešuliai

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

1. A“I will keep the crutch tips in good condition.”
2. B“I will lean on the crutch pads under my arms to rest.”
3. C“I will take my weight on my hands, not on my armpits.”
4. D“I will remove loose rugs from the floor at home.”

A provider asks a nurse to perform a procedure that is outside the nurse’s scope of practice. What should the nurse do?

1. AAsk a nursing assistant to do it instead
2. BDo it just this once and promise the provider not to do it again
3. CDecline, explain why and suggest who can safely do it
4. DDo it, because the provider gave the instruction

An older adult with type 2 diabetes is confused and very dehydrated. The glucose is 900 mg/dL (50 mmol/L), and blood and urine show no significant ketones. What is the most likely problem?

1. ADiabetic ketoacidosis
2. BHypoglycemia with rebound
3. CHyperosmolar hyperglycemic state
4. DStress-induced mild hyperglycemia