Užduočių lapas tema Prioritetų nustatymas ir delegavimas su atsakymais

When taking off protective equipment, which item is usually removed first?

1. AGown
2. BGoggles
3. CGloves
4. DMask

Kokią kategoriją masinių nelaimių triaže paprastai žymi žalia žymė?

1. AMirę arba tikėtina mirtis
2. BAtidėtina: sunkūs, bet šiuo metu stabilūs sužalojimai
3. CNeatidėliotina: reikia gydyti nedelsiant
4. DLengvi sužalojimai: „vaikštantys sužeistieji"

Which finding is expected in a patient with long-standing COPD?

1. ASudden sharp chest pain
2. BNew confusion
3. CAn SpO₂ of 78%
4. DA barrel-shaped chest

After a hip replacement using a posterior approach, which statement shows a need for further teaching?

1. A“I will keep a pillow between my knees when I lie on my side in bed.”
2. B“I will not bend my hip past 90 degrees.”
3. C“I will cross my legs when I sit, so I am more comfortable.”
4. D“I will use a raised toilet seat at home.”

A patient has heart failure. Which instruction about daily weights is best to give the nursing assistant?

1. A“Weigh him at any time today, on whichever scale is free.”
2. B“Weigh him after lunch, fully dressed, with his shoes on.”
3. C“Weigh him each morning before breakfast, on the same scale, and tell me the result.”
4. D“Only weigh him if his ankles look more swollen than they did yesterday afternoon.”

A patient receiving IV magnesium sulfate for pre-eclampsia has absent knee reflexes and a respiratory rate of 10/min. What does the nurse do first?

1. AGive oral fluids to help clear the drug faster
2. BTurn the patient onto her back and recheck later
3. CIncrease the infusion to prevent a seizure
4. DStop the magnesium infusion and call for help

Several patients on a unit develop diarrhea within two days. What should the nurse do first?

1. AGive all patients antidiarrheal drugs without assessment
2. BWait to see if more patients become unwell
3. CMove the affected patients into shared rooms with other patients to free up beds
4. DPlace affected patients on contact precautions and inform infection control

Atliekant START triažą, nevaikštantis suaugusysis kvėpuoja 28 kartus per minutę, neturi stipininės arterijos pulso, o jo kapiliarų prisipildymas 4 sekundės. Kokia kategorija jam suteikiama?

1. AŽalia (lengva)
2. BRaudona (neatidėliotina)
3. CJuoda (tikėtina mirtis)
4. DGeltona (atidėtina), nes kvėpavimo dažnis mažesnis nei 30/min