Užduočių lapas tema Prioritetų nustatymas ir delegavimas su atsakymais

Which symptoms are classic signs of digoxin toxicity?

1. AA rash, high fever and swollen lymph nodes in the neck
2. BHigh blood sugar and increased thirst
3. CHair loss and weight gain
4. DNausea, poor appetite and yellow-green visual halos

Before giving a medication, how many patient identifiers should the nurse check?

1. AAt least two, such as name and date of birth
2. BOne, the room number
3. COne, the bed number
4. DNone, if the nurse already knows the patient well

Which patient is unstable?

1. AA patient waiting for a planned hip X-ray
2. BA patient with long-standing arthritis pain of 3/10
3. CA patient with a healing leg wound and normal vital signs this morning
4. DA patient with a new irregular pulse who says they feel dizzy

A patient with asthma has two inhalers: a corticosteroid and salbutamol (albuterol). Which statement shows a need for further teaching?

1. A“I will use my steroid inhaler every day, even when I feel well.”
2. B“I will use my steroid inhaler when I have a sudden attack.”
3. C“I will rinse my mouth after using the steroid inhaler.”
4. D“I will carry my salbutamol inhaler with me.”

Which newborn finding needs prompt reporting?

1. ABluish hands and feet in the first hours
2. BMilia (small white spots) on the nose
3. CMild jaundice that first appears on the third day
4. DJaundice that appears within the first 24 hours

A patient has a nasogastric tube on suction. Which task can the nurse delegate to a nursing assistant?

1. AGiving mouth care
2. BAssessing the drainage for blood
3. CIrrigating the tube when it blocks
4. DChecking the tube’s position

Four patients arrive at the emergency department at the same time. Who should be seen first?

1. AAn older adult with weakness on one side that began 40 minutes ago
2. BA young adult with a swollen, painful ankle after a fall on the stairs
3. CAn adult with kidney stone pain of 9/10 and stable vital signs
4. DA child with a temperature of 39 °C who is alert and drinking

Kurio paciento radinys yra skubiausias?

1. APacientas, vartojantis varfariną, kurio INR 2,5 ir kuriam metas gauti įprastą vakarinę dozę
2. BPacientas, kurio trombocitų skaičiaus rezultatas dar laukiamas
3. CPacientas po kelio operacijos su nedidele mėlyne injekcijos vietoje
4. DPacientas, gaunantis heparino infuziją, naujai sumišęs ir turintis stiprų galvos skausmą