Užduočių lapas tema Prioritetų nustatymas ir delegavimas su atsakymais

When is the Apgar score usually assessed?

1. AAt the first postnatal clinic visit
2. BBefore the baby is born
3. CAt 1 and 5 minutes after birth
4. DOnly at 24 hours after birth

What is the normal range for arterial bicarbonate (HCO₃⁻)?

1. A3,5–5,0 mEq/L
2. B80–100 mEq/L
3. C35–45 mEq/L
4. D22–26 mEq/L

What is the usual adult reference range for serum potassium?

1. AAbout 135–145 mEq/L
2. BAbout 6,0–8,0 mEq/L
3. CAbout 1,5–2,5 mEq/L
4. DAbout 3,5–5,0 mEq/L

Before accessing a central venous catheter, what should the nurse do to prevent infection?

1. ARinse the hub with tap water and dry it
2. BTouch the hub to check it is clean
3. CBlow on the hub to remove any dust before connecting the syringe or line
4. DScrub the hub with an antiseptic such as chlorhexidine and let it dry

A conscious patient with hypoglycemia drank juice 15 minutes ago. The glucose is now 62 mg/dL (3,4 mmol/L). What should the nurse do next?

1. AGive another serving of fast-acting carbohydrate and recheck in 15 minutes
2. BGive the next scheduled dose of rapid-acting insulin with the meal
3. CRecord the result and recheck the glucose at the usual time before the evening meal
4. DWait another hour, because juice can take a long time to work

A patient coughs hard after abdominal surgery, and loops of bowel appear through the opened wound. What does the nurse do first?

1. APush the bowel gently back into the abdomen with a gloved hand
2. BHelp the patient walk to the toilet to relieve abdominal pressure
3. CCover the wound with sterile dressings moistened with saline
4. DLeave the wound uncovered so the surgeon can see it on arrival

Weeks after a kidney transplant, a patient has a fever, less urine and tenderness over the new kidney. What should the nurse suspect?

1. AA side effect of eating salty food
2. BDehydration from drinking too much
3. CRejection of the transplant
4. DNormal healing of the transplant

A patient with a severe asthma attack had a PaCO₂ of 32 mmHg (4,3 kPa) on arrival. An hour later it is 46 mmHg (6,1 kPa), and the patient seems tired. What does this suggest?

1. AThe patient is hyperventilating even more than before and needs calming
2. BThe asthma is improving, because the PaCO₂ is now near normal
3. CA laboratory error that should be ignored
4. DRespiratory muscle fatigue with possible impending respiratory failure