Užduočių lapas tema Prioritetų nustatymas ir delegavimas su atsakymais

Trijų lygių triažo sistemoje pacientas su išnirusia kulkšnimi, normaliais gyvybiniais rodikliais ir lengvu skausmu paprastai priskiriamas:

1. ASkubiausiems (neatidėliotiniems)
2. BSkubiems
3. CNeskubiems
4. DTikėtinos mirties

Which hemoglobin result is low for an adult woman?

1. A13,2 g/dL (132 g/L)
2. B12,6 g/dL (126 g/L)
3. C7,8 g/dL (78 g/L)
4. D14,0 g/dL (140 g/L)

Apskritai, kuri problemų rūšis sprendžiama pirmiau už kitas?

1. ATikra problema, kurią pacientas turi dabar
2. BProblema, įrašyta senesniame priežiūros plane
3. CMokymosi poreikis išrašymui
4. DRizikos problema, galinti atsirasti vėliau

Which action helps prevent a catheter-associated urinary tract infection?

1. AKeeping the drainage bag below the level of the bladder
2. BRaising the drainage bag above the bladder when walking
3. CLeaving the catheter in place longer than needed
4. DDisconnecting the bag every shift to empty it

A patient’s peripheral IV site is swollen, pale and cool, and the infusion has slowed. What should the nurse do first?

1. AIncrease the infusion rate to overcome the resistance
2. BStop the infusion and remove the cannula
3. CApply a tight bandage over the site to reduce swelling
4. DFlush the cannula hard to clear the blockage

A patient has a nasogastric tube on suction. Which task can the nurse delegate to a nursing assistant?

1. AAssessing the drainage for blood
2. BChecking the tube’s position
3. CGiving mouth care
4. DIrrigating the tube when it blocks

A patient is admitted with inhalational anthrax. Which precautions are needed?

1. AFull contact and droplet precautions for all staff and visitors on the unit
2. BAirborne precautions in a negative-pressure room for the whole of the hospital stay
3. CDroplet precautions with a surgical mask for everyone who enters
4. DStandard precautions, because it does not usually spread from person to person

Four stable patients need routine morning care. To reduce the spread of infection, which patient should the nurse visit first?

1. AA patient with neutropenia after chemotherapy
2. BA patient with C. difficile diarrhea
3. CA patient with influenza on droplet precautions
4. DA patient with an MRSA wound infection