Užduočių lapas tema Prioritetų nustatymas ir delegavimas su atsakymais

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Vardas: ____________________   Data: ____________

1.Lengvas

What does the Braden Scale measure?

  1. AThe level of consciousness after a head injury
  2. BThe risk of developing a pressure injury
  3. CThe risk of falling during a hospital stay
  4. DThe severity of alcohol withdrawal symptoms
2.Lengvas

Which serum lithium level suggests toxicity?

  1. A2,2 mEq/L
  2. B0,8 mEq/L
  3. C0,7 mEq/L
  4. D1,0 mEq/L
3.Lengvas

Which serum potassium result should the nurse report to the provider promptly?

  1. A4,2 mEq/L (4,2 mmol/L)
  2. B4,9 mEq/L (4,9 mmol/L)
  3. C6,4 mEq/L (6,4 mmol/L)
  4. D3,8 mEq/L (3,8 mmol/L)
4.Vidutinis

A patient has a blood pressure of 210/120 mmHg. Which finding would make this a hypertensive emergency?

  1. AMild anxiety about the high reading on the monitor
  2. BNew chest pain or confusion suggesting organ damage
  3. CForgetting to take the blood pressure tablet this morning
  4. DA history of high blood pressure for ten years
5.Vidutinis

A nurse teaches a patient with COPD pursed-lip breathing. Which statement shows a need for further teaching?

  1. A“I will breathe in through my mouth and out quickly through my nose.”
  2. B“I will breathe in slowly through my nose.”
  3. C“I will breathe out slowly through pursed lips.”
  4. D“I will make my breath out about twice as long as my breath in.”
6.Vidutinis

A patient with mild dysphagia after a stroke is eating. Which technique helps make swallowing safer?

  1. ASitting upright with the chin tucked down while swallowing
  2. BDrinking thin fluids quickly through a straw between bites
  3. CLying flat with the head tilted back
  4. DTalking while eating to stay alert
7.Sunkus

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. AGive an oral analgesic and reassess the patient in about one hour
  2. BEncourage the patient to walk to ease the back pain
  3. CPalpate the mass firmly to check its size and spread
  4. DCall for emergency help at once and prepare for urgent surgery
8.Sunkus

Which patient finding after a total knee replacement needs the nurse’s action first?

  1. ASudden calf pain and swelling in the operated leg, with new breathlessness
  2. BPain of 4/10 when the physiotherapist bends the knee during the morning session
  3. CA small amount of dried blood on the dressing
  4. DAsks for an ice pack to help with swelling around the knee

Atsakymai

  1. 1. B · The risk of developing a pressure injury
  2. 2. A · 2,2 mEq/L
  3. 3. C · 6,4 mEq/L (6,4 mmol/L)
  4. 4. B · New chest pain or confusion suggesting organ damage
  5. 5. A · “I will breathe in through my mouth and out quickly through my nose.”
  6. 6. A · Sitting upright with the chin tucked down while swallowing
  7. 7. D · Call for emergency help at once and prepare for urgent surgery
  8. 8. A · Sudden calf pain and swelling in the operated leg, with new breathlessness

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