Užduočių lapas tema Prioritetų nustatymas ir delegavimas su atsakymais

In a three-level triage system, what does “urgent” mean?

1. ALife-threatening and needs care immediately
2. BAlready deceased on arrival
3. CSerious but stable for now, and needs care soon
4. DMinor, and can safely wait for several hours

In mass-casualty triage, what does a yellow tag usually mean?

1. AMinor: the walking wounded
2. BImmediate: life-threatening injuries that are survivable with quick care
3. CDelayed: serious injuries, but care can safely wait a little
4. DDeceased or not expected to survive

A conscious adult with hypoglycemia can swallow safely. What should the nurse give first?

1. AIV glucose through a new cannula as the first choice for every patient
2. BThe next dose of insulin
3. CA large protein meal
4. DA fast-acting carbohydrate by mouth, such as glucose tablets or juice

Praėjus keturioms valandoms po skydliaukės operacijos, kuriuo paciento radiniu slaugytojas turėtų pirmiausia imtis veiksmų?

1. A4/10 skausmas pjūvio vietoje
2. BNedidelis serozinio skysčio kiekis matomas ant kaklo tvarsčio
3. CPrašymas atsisėsti, kad galėtų atsigerti
4. DBalsas vis labiau užkimsta ir atsirado naujas triukšmingas kvėpavimas

A nurse teaches a patient about storing insulin at home. Which statement shows a need for further teaching?

1. A“I will keep unopened insulin in the fridge.”
2. B“I will keep my spare insulin in the freezer so it lasts longer.”
3. C“I will not leave my insulin in a hot car.”
4. D“I will check the expiry date on the label before I use the vial.”

Stabilus suaugusysis su normaliais gyvybiniais rodikliais turi rankos įpjovimą, kuriam reikia siūlių, ir daugiau nieko. Koks ESI lygis tinka?

1. A5 lygis
2. B4 lygis
3. C2 lygis
4. D3 lygis

During surgery under general anesthesia, a patient develops rising end-tidal carbon dioxide, muscle rigidity and a rapidly increasing temperature. Which drug should the nurse anticipate?

1. AAtropine
2. BFlumazenil
3. CNaloxone
4. DDantrolene

Using ESI, a stable adult with abdominal pain will need blood tests and a CT scan, but has a heart rate of 130/min. Which statement is correct?

1. AThe patient is level 4 because the blood tests and the scan count as one resource
2. BThe patient is level 5 because the pain is not severe
3. CThe nurse should consider level 2 because of the danger-zone vital sign
4. DVital signs never change the ESI level