Užduočių lapas tema Prioritetų nustatymas ir delegavimas su atsakymais

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

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

Which term means being answerable for your own actions and their results?

1. AAuthority
2. BAssignment
3. CAccountability
4. DDelegation

What is a transient ischemic attack (TIA)?

1. AA type of migraine with no link to stroke
2. BA heart attack that affects the brain
3. CBrief stroke-like symptoms that resolve, warning of a possible stroke
4. DA stroke that leaves permanent weakness or paralysis on one side of the body

A nurse takes a telephone order from a provider. What must the nurse do?

1. AAsk the ward clerk to take the order on the nurse’s behalf instead
2. BWrite the order down and read it back to the provider to confirm it
3. CCarry out the order first and ask the provider to confirm it later
4. DRemember the order and write it in the chart at the end of the shift

A patient uses patient-controlled analgesia (PCA) after surgery. Which statement by a family member shows a need for further teaching?

1. A“Only she should press the button when she needs pain relief.”
2. B“The pump has limits set by the nurse so she cannot get too much at once.”
3. C“I will tell the nurse if she becomes very sleepy or hard to wake.”
4. D“I will press the button for her while she is asleep so she stays comfortable.”

One hour after a vaginal birth, the nurse finds a soft, boggy uterus and heavy bleeding. What is the first action?

1. AMassage the fundus
2. BOffer a meal and fluids
3. CEncourage the patient to rest quietly
4. DApply an ice pack to the perineum

Slaugytojo padėjėjas išmatavo gyvybinius rodiklius praėjus 15 minučių po paciento pirmosios morfino dozės. Jis praneša apie 10/min kvėpavimo dažnį ir sako, kad pacientą sunku pažadinti. Ką turėtų daryti slaugytojas?

1. AUžrašyti radinius ir pasakyti gydytojui per kitą suplanuotą ratą
2. BNedelsiant eiti, pažadinti pacientą, palaikyti kvėpavimą ir paruošti naloksoną pagal paskyrimą
3. CPaskambinti gydytojui paskyrimų, prieš einant pas pacientą
4. DPaprašyti padėjėjo po 15 minučių pakartotinai išmatuoti kvėpavimo dažnį ir pranešti

A patient with Guillain-Barré syndrome has weakness that is spreading up from the legs. Which assessment has the highest priority?

1. ASkin condition over the heels
2. BMuscle strength in the feet and ankles at the start of each morning
3. CThe patient’s mood and coping
4. DBreathing strength, such as vital capacity and the ability to cough