Užduočių lapas tema Prioritetų nustatymas ir delegavimas su atsakymais

Which platelet count is within the normal adult range?

1. A250,000/mm³ (250 × 10⁹/L)
2. B90,000/mm³ (90 × 10⁹/L)
3. C700,000/mm³ (700 × 10⁹/L)
4. D40,000/mm³ (40 × 10⁹/L)

Which type of stroke is the most common?

1. AVenous sinus thrombosis
2. BHemorrhagic stroke
3. CSubarachnoid hemorrhage
4. DIschemic stroke

What does the START in START triage stand for?

1. ASimple Triage And Rapid Treatment
2. BStaged Triage And Resuscitation Team
3. CStandard Treatment And Referral Tool
4. DSystematic Transfer And Rapid Transport

A nurse teaches foot care to a patient with diabetes. Which statement shows a need for further teaching?

1. A“I will dry well between my toes after washing.”
2. B“I will wear shoes that fit well, even at home.”
3. C“I will soak my feet in hot water every evening.”
4. D“I will check the soles of my feet every day with a mirror.”

Several patients on a gastroenterology unit need care. Which patient should the nurse see first?

1. ATwo hours after a colonoscopy: rigid abdomen and severe new pain
2. BCrohn disease, waiting to be taken down for a scheduled CT scan
3. CUlcerative colitis, asking about diet changes for home
4. DLong-standing back pain, asking for the usual analgesic

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

A patient admitted with a stroke this morning asks for a glass of water. What should the nurse do first?

1. AGive the water through a straw so it goes down slowly
2. BCheck that a swallow screen has been done before giving anything by mouth
3. CGive thickened fluids without checking the swallow
4. DAsk the family to help the patient drink while sitting upright in a chair at the bedside

Two call lights go on at the same time. One patient has pain of 7/10 after surgery. The other is a confused patient at high risk of falls who is climbing out of bed alone. Who does the nurse go to first?

1. AThe confused patient climbing out of bed
2. BThe patient whose call light went on first
3. CThe patient in pain after surgery
4. DWhichever patient’s room is closer to the station