Užduočių lapas tema Prioritetų nustatymas ir delegavimas su atsakymais

Kurią užduotį galima deleguoti nelicencijuotam pagalbiniam personalui?

1. ASprendimą, ar skambinti gydytojui dėl radinio
2. BPaciento mokymą apie mažai natrio turinčią dietą
3. CSpaudimo pragulos vertinimą
4. DPaciento šlapimo kiekio matavimą ir užrašymą

Kuris radinys yra kvėpavimo takų problema?

1. APilvo skausmas, vertinamas 8/10
2. BSilpnas, siūliškas stipininės arterijos pulsas
3. CLiežuvio ir lūpų tinimas su užkimusiu balsu
4. DĮkvepiant girdimi smulkūs karkalai abiejų plaučių pagrinduose

What is the normal range for arterial bicarbonate (HCO₃⁻)?

1. A80–100 mEq/L
2. B3,5–5,0 mEq/L
3. C35–45 mEq/L
4. D22–26 mEq/L

A parent of a child with influenza talks with the nurse. Which statement shows a need for further teaching?

1. A“I will give my child plenty of fluids.”
2. B“I will keep my child home from school and away from others while unwell.”
3. C“I will call if my child has trouble breathing.”
4. D“I will give my child aspirin to bring the fever down.”

A pregnant nurse is on the unit. Which patient should the charge nurse avoid assigning to her?

1. AA patient with a fractured wrist
2. BA patient after a hip replacement
3. CA patient with type 2 diabetes who needs insulin teaching before discharge
4. DA patient with a sealed radioactive implant for cervical cancer

A swimmer is found unresponsive after diving into shallow water. Which method should the nurse use to open the airway?

1. ATurning the head to the side to drain water
2. BJaw thrust, keeping the head and neck in line
3. CHead-tilt, chin-lift with full neck extension
4. DRaising the chin while bending the neck forward

A nurse must care for a patient with a radioactive implant. Which approach best limits the nurse’s exposure?

1. AStand close to the patient to finish care faster
2. BSpend longer in the room each time but visit less often during the shift
3. CLimit time in the room, keep as far away as possible and use shielding
4. DWear a surgical mask to block the radiation

An older patient has bruises of different ages and seems frightened when a relative visits. What is the nurse’s priority?

1. AAsk the relative directly in front of the patient whether they hit her
2. BIgnore it, because older people bruise easily
3. CEnsure the patient’s safety, document the findings and report as required
4. DTell the patient she must leave home and go to live somewhere else