Užduočių lapas tema Prioritetų nustatymas ir delegavimas su atsakymais

In SBAR communication, what does the letter R stand for?

1. AReassessment
2. BResponse
3. CRecommendation
4. DResult

Which task is appropriate to delegate to a nursing assistant for an immobile but stable patient?

1. ADeciding whether a pressure injury has got worse since yesterday
2. BPlanning the patient’s skin care
3. CChoosing which wound dressing to use
4. DTurning and repositioning the patient every 2 hours

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 count the swabs at the end of the operation
3. CTo let the family say goodbye to the patient
4. DTo confirm the correct patient, procedure and site

Kurią užduotį RN tinkamiausia deleguoti LPN/LVN?

1. ANuolatinio šlapimo pūslės kateterio įvedimą stabiliam pacientui
2. BIšrašymo mokymą pacientui, kuriam ką tik paskirtas insulinas
3. CNaujo paciento priėmimo vertinimą
4. DPirmojo raudonųjų kraujo kūnelių vieneto pradėjimą perpilti

Which patient with diabetes should the nurse see first?

1. AGlucose 210 mg/dL (11,7 mmol/L) after a large lunch, feels well
2. BNeeds foot care teaching before discharge tomorrow
3. CHbA1c result of 8,2%, asking about diet
4. DGlucose 48 mg/dL (2,7 mmol/L), sweating and confused

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

1. AHead-tilt, chin-lift with full neck extension
2. BRaising the chin while bending the neck forward
3. CTurning the head to the side to drain water
4. DJaw thrust, keeping the head and neck in line

A patient with known abdominal aortic aneurysm suddenly has severe back pain, a pulsing mass in the abdomen and a falling blood pressure. What should the nurse do?

1. ACall for emergency help at once and prepare for urgent surgery
2. BGive an oral analgesic and reassess the patient in about one hour
3. CPalpate the mass firmly to check its size and spread
4. DEncourage the patient to walk to ease the back pain

A victim heavily contaminated with an industrial chemical arrives at the emergency department with stable vital signs. What should happen first?

1. ATaking the victim straight to the X-ray department
2. BFull assessment inside the main department straight away
3. CDecontamination before the victim enters the treatment area
4. DPlacing the victim in the waiting room until a doctor is free