Užduočių lapas tema Prioritetų nustatymas ir delegavimas su atsakymais

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Vardas: ____________________   Data: ____________

1.Lengvas

In mmHg, what is the normal range for arterial PaCO₂?

  1. A35–45 mmHg
  2. B22–26 mmHg
  3. C7,35–7,45 mmHg
  4. D80–100 mmHg
2.Lengvas

Where is intramuscular epinephrine usually injected for anaphylaxis?

  1. AThe outer middle thigh
  2. BA vein in the hand
  3. CThe buttock
  4. DThe abdomen under the skin
3.Lengvas

An adult without lung disease is breathing room air. Which SpO₂ reading needs action?

  1. A96%
  2. B97%
  3. C89%
  4. D99%
4.Vidutinis

A nurse teaches a patient with heart failure. Which statement shows a need for further teaching?

  1. A“I will call if my weight goes up quickly over a day or two.”
  2. B“I will take my water tablet in the morning.”
  3. C“I add extra salt to my food so it tastes better.”
  4. D“I will weigh myself every morning after I use the toilet.”
5.Vidutinis

A patient with schizophrenia says voices are telling him to hurt his roommate. What is the priority?

  1. ATell him the voices are not real and leave him alone
  2. BIgnore the comment, because voices are part of his illness
  3. CKeep everyone safe and tell the team, as the risk of harm is high
  4. DAsk the roommate to stay in the room with him and help calm him down
6.Vidutinis

Which newborn finding needs prompt reporting?

  1. AMilia (small white spots) on the nose
  2. BMild jaundice that first appears on the third day
  3. CJaundice that appears within the first 24 hours
  4. DBluish hands and feet in the first hours
7.Sunkus

A patient with a head injury has a pupil on one side that is now large and does not react to light. What should the nurse do?

  1. ADocument it, because pupils often differ slightly after a head injury
  2. BRecheck it at the next routine observation in four hours
  3. CDim the room lights so the pupil can get smaller
  4. DReport it at once, as it may mean the brain is being compressed
8.Sunkus

A patient has central chest pain that started 30 minutes ago at rest and has not eased with rest or nitroglycerin. What does this suggest?

  1. AA possible myocardial infarction that needs urgent action
  2. BIndigestion that is best treated with an antacid and a glass of milk
  3. CMuscle strain that needs a warm compress
  4. DStable angina that will pass without treatment

Atsakymai

  1. 1. A · 35–45 mmHg
  2. 2. A · The outer middle thigh
  3. 3. C · 89%
  4. 4. C · “I add extra salt to my food so it tastes better.”
  5. 5. C · Keep everyone safe and tell the team, as the risk of harm is high
  6. 6. C · Jaundice that appears within the first 24 hours
  7. 7. D · Report it at once, as it may mean the brain is being compressed
  8. 8. A · A possible myocardial infarction that needs urgent action

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