Užduočių lapas tema Prioritetų nustatymas ir delegavimas su atsakymais

In a patient with sepsis, what does a raised blood lactate level suggest?

1. AThe tissues are not getting enough oxygen
2. BThe kidneys are working harder than usual
3. CThe patient has eaten recently
4. DThe liver is making too much bile

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

1. AMask
2. BGloves
3. CGoggles
4. DGown

A patient has a Glasgow Coma Scale score of 8. What is the main concern?

1. AThe patient may not be able to protect the airway
2. BThe patient is fully alert and oriented
3. CThe patient only has a mild headache
4. DThe patient can safely eat and drink without help

On day 3 after hip surgery, a patient suddenly becomes short of breath with sharp chest pain and an SpO₂ of 88%. What should the nurse do first?

1. AEncourage the patient to walk to improve the circulation
2. BRaise the head of the bed, give oxygen and call for urgent help
3. CGive the next dose of oral analgesia and reassess the patient in an hour
4. DMassage the patient’s calves to ease any muscle cramp

Slaugytojo padėjėjas praneša apie keturis pacientus. Kuriam pranešimui slaugytojas turi skirti dėmesio pirmiausia?

1. APacientas, sergantis LOPL, kurio SpO₂ ramybėje 90 %, atitinkantis jo įprastas reikšmes
2. BPacientas per pastarąsias 6 valandas išskyrė 300 mL šlapimo
3. CPacientas praėjus dienai po pilvo operacijos naujai neramus ir jo širdies susitraukimų dažnis 124/min
4. DPacientas prašo papildomos pagalvės

A nurse takes a telephone order from a provider. What must the nurse do?

1. AWrite the order down and read it back to the provider to confirm it
2. BRemember the order and write it in the chart at the end of the shift
3. CAsk the ward clerk to take the order on the nurse’s behalf instead
4. DCarry out the order first and ask the provider to confirm it later

During surgery under general anesthesia, a patient develops rising end-tidal carbon dioxide, muscle rigidity and a rapidly increasing temperature. Which drug should the nurse anticipate?

1. AFlumazenil
2. BAtropine
3. CNaloxone
4. DDantrolene

Pacientas su nauja tracheostoma kosėja, triukšmingai kvėpuoja, o SpO₂ nukrito iki 86 %. Koks pirmas veiksmas?

1. ADuoti purškiamo bronchus plečiančio vaisto
2. BUžrašyti SpO₂ ir iš naujo patikrinti po 30 minučių
3. CPakeisti tracheostomos raištelius
4. DAtsiurbti tracheostomą