Užduočių lapas tema Prioritetų nustatymas ir delegavimas su atsakymais

Kuriuo suaugusiojo radiniu slaugytojas turėtų imtis veiksmų pirmiausia?

1. AKraujospūdis 138/88 mmHg ir visiškai budrus
2. BŠirdies susitraukimų dažnis 98/min
3. CTemperatūra 37,8 °C (100 °F)
4. DKvėpavimo dažnis 8/min ir mieguistumas

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

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

A patient has a Glasgow Coma Scale score of 8. What is the main concern?

1. AThe patient may not be able to protect the airway
2. BThe patient is fully alert and oriented
3. CThe patient only has a mild headache
4. DThe patient can safely eat and drink without help

A conscious patient with hypoglycemia drank juice 15 minutes ago. The glucose is now 62 mg/dL (3,4 mmol/L). What should the nurse do next?

1. AGive the next scheduled dose of rapid-acting insulin with the meal
2. BRecord the result and recheck the glucose at the usual time before the evening meal
3. CWait another hour, because juice can take a long time to work
4. DGive another serving of fast-acting carbohydrate and recheck in 15 minutes

A nurse needs to give report on a patient to a colleague. Which information is the most important to include?

1. AThe patient’s current condition, recent changes and pending tasks
2. BThe patient’s favorite television programs and hobbies
3. CPersonal opinions about the patient’s family members and their visiting habits
4. DDetails of the nurse’s own break times that shift

Širdies sustojimo metu palatoje, koks veiksmas eina pirmas, kai patvirtinama, kad pacientas nereaguoja ir nekvėpuoja normaliai?

1. AAtlikti du gelbstinčius įpūtimus, tada vieną minutę tikrinti pulsą
2. BIšmatuoti kraujospūdį
3. CSusirasti paciento dokumentus ir patikrinti gaivinimo statusą, prieš kviečiant pagalbą
4. DKviesti pagalbą ir pradėti krūtinės ląstos paspaudimus

At 08:00 a nurse has four tasks. Which order is best?

1. ACheck the patient with a falling SpO₂, give insulin with breakfast, give routine medications, update care plans
2. BGive insulin with breakfast, update care plans, check the patient with a falling SpO₂, give routine medications
3. CGive routine medications, check the patient with a falling SpO₂, update care plans, give insulin with breakfast
4. DUpdate care plans, give insulin with breakfast, give routine medications, check the patient with a falling SpO₂

Nuolatinio maitinimo per zondą metu pacientas staiga pradeda kosėti, dusti ir SpO₂ krenta. Koks pirmasis slaugytojo veiksmas?

1. APaguldyti pacientą, kad pailsėtų
2. BPraplauti zondą 50 mL vandens ir tęsti maitinimą kaip anksčiau
3. CPadidinti maitinimo greitį, kad greičiau baigtųsi
4. DSustabdyti maitinimą, pasodinti pacientą tiesiai ir įvertinti kvėpavimą