Užduočių lapas tema Prioritetų nustatymas ir delegavimas su atsakymais

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Vardas: ____________________   Data: ____________

1.Lengvas

A conscious adult with hypoglycemia can swallow safely. What should the nurse give first?

  1. AThe next dose of insulin
  2. BA fast-acting carbohydrate by mouth, such as glucose tablets or juice
  3. CIV glucose through a new cannula as the first choice for every patient
  4. DA large protein meal
2.Lengvas

In mass-casualty triage, what does a yellow tag usually mean?

  1. AImmediate: life-threatening injuries that are survivable with quick care
  2. BDelayed: serious injuries, but care can safely wait a little
  3. CMinor: the walking wounded
  4. DDeceased or not expected to survive
3.Lengvas

What is the normal baseline fetal heart rate?

  1. A60–100/min
  2. B40–60/min
  3. C110–160/min
  4. D160–220/min
4.Vidutinis

Pacientui staiga bėga kraujas iš nosies, jis budrus ir kvėpuoja normaliai. Ką slaugytojas daro pirmiausia?

  1. APaprašo pacientą stipriai nusišnypšti, kad pasišalintų krešuliai
  2. BPaguldo pacientą ant nugaros su pagalve po keliais
  3. CPasodina pacientą, pasvirina jį į priekį ir suspaudžia minkštąją nosies dalį
  4. DAtloškia galvą ir uždeda ledo ant sprando
5.Vidutinis

During labor, the nurse sees the umbilical cord in the vagina after the membranes rupture. What is the first action?

  1. APush the cord back into the uterus
  2. BWait for the next contraction before acting
  3. CRelieve pressure on the cord by lifting the presenting part with a gloved hand
  4. DAsk the patient to walk around the room to bring the baby lower and speed up labor
6.Vidutinis

A patient with angina is taught to use sublingual nitroglycerin (GTN). Which statement shows a need for further teaching?

  1. A“I will take five tablets one after the other before I call for help.”
  2. B“I will sit or lie down when I take a tablet.”
  3. C“If the pain has not eased as my action plan says, I will call emergency services.”
  4. D“I will carry the tablets with me when I go out.”
7.Sunkus

A patient with SIADH has a serum sodium of 120 mEq/L and is newly confused. Which nursing action has priority?

  1. AEncouraging the patient to drink plenty of water
  2. BTeaching the patient about a low-sodium diet at home
  3. CSeizure precautions and close neurological checks
  4. DHelping the patient to walk in the corridor alone
8.Sunkus

A patient with diabetes takes propranolol. Which sign of hypoglycemia is most likely to still appear?

  1. APalpitations
  2. BTachycardia
  3. CSweating
  4. DTremor

Atsakymai

  1. 1. B · A fast-acting carbohydrate by mouth, such as glucose tablets or juice
  2. 2. B · Delayed: serious injuries, but care can safely wait a little
  3. 3. C · 110–160/min
  4. 4. C · Pasodina pacientą, pasvirina jį į priekį ir suspaudžia minkštąją nosies dalį
  5. 5. C · Relieve pressure on the cord by lifting the presenting part with a gloved hand
  6. 6. A · “I will take five tablets one after the other before I call for help.”
  7. 7. C · Seizure precautions and close neurological checks
  8. 8. C · Sweating

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