Užduočių lapas tema Prioritetų nustatymas ir delegavimas su atsakymais

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Vardas: ____________________   Data: ____________

1.Lengvas

In stroke care, what does the “last known well” time mean?

  1. AThe last time the patient was seen without stroke symptoms
  2. BThe time the first symptom was noticed by a stranger
  3. CThe time of the patient’s last meal
  4. DThe time the patient arrived at the hospital and was triaged
2.Lengvas

Kuri iš šių yra viena iš penkių delegavimo „teisingų" sąlygų?

  1. ATeisingas vartojimo būdas ir injekcijos vieta
  2. BTeisinga priežiūra ir vertinimas
  3. CTeisingas laikas ir dažnumas
  4. DTeisinga dozė ir stiprumas
3.Lengvas

Which serum sodium value is within the normal adult range?

  1. A120 mEq/L (120 mmol/L)
  2. B128 mEq/L (128 mmol/L)
  3. C140 mEq/L (140 mmol/L)
  4. D152 mEq/L (152 mmol/L)
4.Vidutinis

A patient with a head injury is being monitored. Which set of findings suggests rising intracranial pressure?

  1. AFalling blood pressure, a fast pulse and warm, flushed dry skin
  2. BRising systolic pressure, slow pulse and irregular breathing
  3. CNormal blood pressure, normal pulse and clear speech
  4. DLow temperature, fast breathing and a strong appetite
5.Vidutinis

A nurse teaches a patient who uses home oxygen. Which statement shows a need for further teaching?

  1. A“My husband can smoke in my room if the window is open.”
  2. B“I will put up no-smoking signs at the front door and in my room.”
  3. C“I will keep the oxygen away from the gas stove.”
  4. D“I will not use oil-based creams on my face.”
6.Vidutinis

A nurse teaches a patient about sublingual nitroglycerin tablets. Which statement shows a need for further teaching?

  1. A“I may get a headache after taking a tablet.”
  2. B“I will keep the tablets in their original dark container.”
  3. C“I will sit down before I take a tablet.”
  4. D“I will swallow the tablet with a glass of water.”
7.Sunkus

A patient has a potassium of 7,0 mEq/L with peaked T waves. Several drugs are prescribed. Which one is usually given first to protect the heart?

  1. AOral sodium bicarbonate
  2. BOral potassium binder
  3. CIV calcium gluconate
  4. DIV furosemide
8.Sunkus

A competent adult patient refuses a blood transfusion for religious reasons. What should the nurse do?

  1. AAsk the family to persuade the patient until they agree
  2. BRespect the refusal, check the patient understands the risks and inform the provider
  3. CGive the transfusion while the patient is asleep, because saving their life comes first
  4. DTell the patient that refusing treatment is not allowed in hospital

Atsakymai

  1. 1. A · The last time the patient was seen without stroke symptoms
  2. 2. B · Teisinga priežiūra ir vertinimas
  3. 3. C · 140 mEq/L (140 mmol/L)
  4. 4. B · Rising systolic pressure, slow pulse and irregular breathing
  5. 5. A · “My husband can smoke in my room if the window is open.”
  6. 6. D · “I will swallow the tablet with a glass of water.”
  7. 7. C · IV calcium gluconate
  8. 8. B · Respect the refusal, check the patient understands the risks and inform the provider

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