Užduočių lapas tema Prioritetų nustatymas ir delegavimas su atsakymais

Kurią užduotį registruotasis slaugytojas (RN) paprastai gali deleguoti nelicencijuotam pagalbiniam personalui (UAP), pavyzdžiui, slaugytojo padėjėjui?

1. AStabilaus paciento gyvybinių rodiklių matavimą
2. BNaujo paciento priėmimo vertinimą
3. CPaciento atsako į nuskausminamuosius vertinimą
4. DPaciento mokymą, kaip suleisti naują insuliną

What is the purpose of an early warning score, such as the National Early Warning Score (NEWS)?

1. ATo spot deterioration early from routine vital signs
2. BTo calculate the correct drug doses for each patient
3. CTo measure the patient’s satisfaction with care
4. DTo decide the patient’s diet

Ką delegavime reiškia „teisinga priežiūra ir vertinimas"?

1. ADeleguojamas asmuo pats patikrina ir pasirašo savo darbą
2. BSlaugytojas stebi kiekvieną sekundę kiekvienos deleguotos užduoties
3. CPamainos vadovė pamainos pabaigoje pasirašo visas deleguotas užduotis
4. DSlaugytojas seka eigą, prireikus įsikiša ir patikrina rezultatą

A pregnant nurse is on the unit. Which patient should the charge nurse avoid assigning to her?

1. AA patient with a fractured wrist
2. BA patient with a sealed radioactive implant for cervical cancer
3. CA patient with type 2 diabetes who needs insulin teaching before discharge
4. DA patient after a hip replacement

A patient has a reddened area on the sacrum that does not blanch when pressed. What is the priority action?

1. ARelieve pressure on the area by changing position regularly
2. BMassage the area firmly to improve the blood flow to the skin
3. CApply a heat pad to the area to increase circulation
4. DKeep the patient lying on the back to protect the area

After a hip replacement using a posterior approach, which statement shows a need for further teaching?

1. A“I will keep a pillow between my knees when I lie on my side in bed.”
2. B“I will cross my legs when I sit, so I am more comfortable.”
3. C“I will use a raised toilet seat at home.”
4. D“I will not bend my hip past 90 degrees.”

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

1. AAsks for an ice pack to help with swelling around the knee
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. DSudden calf pain and swelling in the operated leg, with new breathlessness

After handover on a medical unit, which patient should the nurse see first?

1. ADay 2 after a hernia repair, pain 6/10, oral analgesic due in 20 minutes, wants it now
2. BDeep vein thrombosis on a heparin infusion, aPTT in the target range
3. CNew atrial fibrillation, heart rate 150/min, blood pressure 86/50 mmHg, dizzy
4. DPneumonia on 2 L/min oxygen, SpO₂ 93%, talking in full sentences