Užduočių lapas tema Prioritetų nustatymas ir delegavimas su atsakymais

What is the purpose of the “time-out” just before a surgical procedure?

1. ATo give the surgeon a short rest before the operation starts
2. BTo confirm the correct patient, procedure and site
3. CTo count the swabs at the end of the operation
4. DTo let the family say goodbye to the patient

Slaugytojo padėjėjas praneša apie keturis radinius. Kurį slaugytojas turėtų patikrinti pirmiausia?

1. APacientą, kurio pusryčių padėklas nesuvalgytas
2. BPacientą, kuris prašo dar vieno pledo
3. CPacientą, kuris staiga negali pajudinti dešinės rankos
4. DPacientą, kuris nori paskambinti artimajam

Which pain scale is designed for infants and young children who cannot describe their pain?

1. AThe FLACC scale
2. BThe Braden Scale
3. CThe Morse Fall Scale
4. DThe Glasgow Coma Scale

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

A patient with diabetes is unresponsive and has a blood glucose of 40 mg/dL (2,2 mmol/L). What should the nurse do first?

1. AGive the scheduled dose of insulin
2. BPour orange juice into the patient’s mouth
3. CWait 15 minutes and recheck the glucose
4. DGive IV dextrose or glucagon as prescribed

The day after a total thyroidectomy, a patient reports tingling around the mouth and in the fingers. What should the nurse do first?

1. AEncourage deep breaths into a paper bag until it passes
2. BGive the patient’s routine oral iron supplement early
3. CCheck for signs of low calcium and inform the provider
4. DReassure the patient that this is normal after neck surgery

Two patients on the unit have the same surname. What should the nurse do before giving a medication?

1. AUse the room number as the main identifier
2. BCheck two identifiers against the wristband and the medication record
3. CAsk a nursing assistant which patient is which
4. DAsk the patient, “Are you Mr Smith?” and give the drug once he says yes

Pacientas su nauja tracheostoma kosėja, triukšmingai kvėpuoja, o SpO₂ nukrito iki 86 %. Koks pirmas veiksmas?

1. APakeisti tracheostomos raištelius
2. BUžrašyti SpO₂ ir iš naujo patikrinti po 30 minučių
3. CDuoti purškiamo bronchus plečiančio vaisto
4. DAtsiurbti tracheostomą