Užduočių lapas tema Prioritetų nustatymas ir delegavimas su atsakymais

Which pain scale is designed for infants and young children who cannot describe their pain?

1. AThe FLACC scale
2. BThe Morse Fall Scale
3. CThe Glasgow Coma Scale
4. DThe Braden Scale

Which capillary refill time is prolonged in an adult?

1. A1 second
2. BLess than 1 second
3. C4 seconds
4. D2 seconds

Which laboratory finding is expected in a patient with chronic kidney disease who receives dialysis?

1. AA serum sodium of 160 mEq/L
2. BA low serum creatinine
3. CA raised serum creatinine
4. DA platelet count of 900,000/mm³

Which patient is most suitable for the nurse to assign to a nurse who has just finished orientation?

1. AA patient with a new tracheostomy who needs frequent suctioning
2. BA patient on a continuous heparin infusion with rising aPTT values
3. CA patient with stable cellulitis on scheduled IV antibiotics
4. DA patient with sepsis whose blood pressure is falling

When making patient assignments, what should the charge nurse consider first?

1. AGiving each nurse patients in rooms next to each other
2. BMatching each patient’s needs to staff competence
3. CLetting staff choose the patients they prefer
4. DGiving the newest staff the most complex patients

Kuris pacientas tinkamiausias paskirti LPN/LVN?

1. APacientas, atvykstantis iš pooperacinės palatos, kuriam reikia pradinio vertinimo
2. BPacientas su stabiliu lėtiniu širdies nepakankamumu, kuriam reikia geriamųjų vaistų
3. CPacientas, kuriam netrukus bus perpilamas pirmas raudonųjų kraujo kūnelių vienetas
4. DPacientas, paguldytas prieš 30 minučių su nauju krūtinės skausmu

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

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

An 85-year-old resident becomes newly confused and is falling, but has no fever. Which cause should the nurse consider first?

1. ABoredom from not having enough activities
2. BAn infection, such as a urinary tract infection, presenting atypically
3. CA sudden worsening of long-standing dementia that needs no tests
4. DNormal aging that needs no assessment