Užduočių lapas tema Prioritetų nustatymas ir delegavimas su atsakymais

Which blood pressure in an adult suggests hypotension?

1. A118/76 mmHg
2. B110/70 mmHg
3. C126/82 mmHg
4. D82/48 mmHg

Taikant ABC schemą, kuri problema yra kraujotakos problema?

1. ANekontroliuojamas kraujavimas
2. BNerimas
3. C32/min kvėpavimo dažnis
4. DStridoras

When is the Apgar score usually assessed?

1. AAt the first postnatal clinic visit
2. BAt 1 and 5 minutes after birth
3. COnly at 24 hours after birth
4. DBefore the baby is born

A nurse needs to give report on a patient to a colleague. Which information is the most important to include?

1. AThe patient’s favorite television programs and hobbies
2. BThe patient’s current condition, recent changes and pending tasks
3. CPersonal opinions about the patient’s family members and their visiting habits
4. DDetails of the nurse’s own break times that shift

An older patient with dementia is restless at night and keeps trying to get out of bed. Which measure should the nurse try first?

1. AGive a sedative from the as-needed list without first assessing the patient
2. BCheck for pain, thirst or a full bladder, and offer toileting
3. CApply wrist restraints for the rest of the night
4. DRaise all four bed rails so the patient cannot climb out

A nurse teaches a patient about levothyroxine. Which statement shows a need for further teaching?

1. A“I will take it at breakfast with my calcium tablet.”
2. B“I will take it at the same time each morning.”
3. C“I will keep taking it even when I feel well.”
4. D“I will take it on an empty stomach with a glass of water.”

A patient is deteriorating quickly. The nurse has called the provider twice, but the provider has not come. What is the best action?

1. ADocument the concern and continue routine care
2. BWait another hour and call the provider again
3. CActivate the rapid response team
4. DAsk the patient’s family to call the provider

Kuris paciento radinys yra netikėtas ir reikalauja veiksmų po transuretrinės prostatos rezekcijos su nuolatiniu šlapimo pūslės plovimu?

1. ANoras šlapintis, nepaisant kateterio
2. BRyškiai raudonas šlapimas su krešuliais ir sumažėjęs tekėjimas pro kateterį
3. CLengvi šlapimo pūslės spazmai, praeinantys nuo paskirto spazmolitiko
4. DŠviesiai rausvas šlapimas, per dieną tampantis skaidresnis