Užduočių lapas tema Prioritetų nustatymas ir delegavimas su atsakymais

Which body temperature is a fever in an adult?

1. A36,4 °C
2. B38,5 °C
3. C36,8 °C
4. D37,1 °C

Which finding should a nursing assistant report to the nurse at once?

1. AA pulse of 42/min in a patient whose usual pulse is 76/min
2. BA patient who would like tea instead of coffee
3. CA patient whose weight is unchanged from yesterday
4. DA patient who wants to shower in the evening

Which patient concern belongs to the esteem level of Maslow’s hierarchy?

1. AWorry about body image after a mastectomy
2. BMissing friends from home
3. CThirst after a long period of fasting before a test
4. DFear of slipping in the shower

Which practice makes a shift handover safest?

1. ALeaving a sticky note on the computer screen for the next nurse
2. BA quick chat in the corridor with no notes taken
3. CHanding over only the patients who had problems during the shift
4. DA structured format, such as SBAR, with time for questions

A patient taking clozapine reports a sore throat and fever. What is the priority action?

1. AOffer throat lozenges and continue the usual dose
2. BHold the dose and report so the white cell count can be checked
3. CAdvise the patient to gargle with warm salt water and rest in bed
4. DIncrease the dose because the symptoms suggest a relapse

Kuri slaugytojo padėjėjo užduotis tinkama pacientui praėjus dviem dienoms po klubo sąnario endoprotezavimo?

1. APjūvio tikrinimas dėl paraudimo, šilumos ir išskyrų
2. BPaciento mokymas klubo apsaugos taisyklių prieš išrašymą
3. CĮvertinimas, ar paskutinė nuskausminamojo dozė suvaldė skausmą
4. DPagalba pacientui atsisėsti į kėdę, laikantis klubo apsaugos taisyklių

A patient has a new spinal cord injury at C4. Which assessment is the priority?

1. ABowel sounds in all four abdominal quadrants
2. BSkin over the sacrum and heels
3. CAbility to feed themselves
4. DBreathing effort and ability to cough

On a cardiac step-down unit, which patient should the nurse assess first?

1. AAtrial fibrillation on warfarin with an INR of 2,6 this morning
2. BHeart failure, weight up 0,5 kg since yesterday, no breathlessness at rest
3. CSix hours after a coronary stent, new chest pain with ST elevation on the monitor
4. DDay 2 after a pacemaker insertion, asking when the wound dressing will be changed