Užduočių lapas tema Prioritetų nustatymas ir delegavimas su atsakymais

Kai prioritetų klausime klausiama, ką daryti „pirmiausia", ko klausiama?

1. AVeiksmo, kuriam atlikti reikia daugiausia laiko
2. BVeiksmo, kurį slaugytojai atlieka dažniausiai įprastos pamainos metu
3. CVienintelio teisingo varianto; kiti klaidingi
4. DŽingsnio, kuris eina prieš kitus, net jei visi teisingi

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

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

Which term describes a patient who is unable to understand and decide about their own care?

1. AProviding valid informed consent
2. BExercising autonomy
3. CFully competent
4. DLacking decision-making capacity

A patient arrives in the recovery room after general anesthesia. What does the nurse assess first?

1. AThe pain score
2. BThe surgical dressing and the drains
3. CUrine output
4. DAirway patency and breathing

Kurią užduotį slaugytojas turėtų deleguoti slaugytojo padėjėjui pacientui, kuriam taikomos kritimų prevencijos priemonės?

1. ASprendimą, ar vis dar reikalingas lovos signalizatorius
2. BPaciento kritimo rizikos balo įvertinimą ir užrašymą kiekvieną rytą
3. CPagalbą pacientui nueiti į tualetą kas 2 valandas, kaip suplanuota
4. DŠeimos mokymą, kaip išvengti kritimų namuose

A patient receives hemodialysis this morning. Which type of medication is often held before dialysis, as prescribed?

1. ATopical skin creams
2. BInhaled bronchodilators
3. CAntihypertensive drugs
4. DEye drops for glaucoma

A marathon runner is confused, with a temperature of 41 °C and hot skin. What is the priority?

1. ARapid cooling while supporting airway and circulation
2. BGiving an antipyretic tablet and waiting for it to work
3. CAsking the runner to rest in the shade and drink slowly
4. DWrapping the runner in a blanket to prevent shivering

Two call lights go on at the same time. One patient has pain of 7/10 after surgery. The other is a confused patient at high risk of falls who is climbing out of bed alone. Who does the nurse go to first?

1. AWhichever patient’s room is closer to the station
2. BThe patient in pain after surgery
3. CThe patient whose call light went on first
4. DThe confused patient climbing out of bed