Užduočių lapas tema Prioritetų nustatymas ir delegavimas su atsakymais

Kuri bendra prioritetų taisyklė teisinga?

1. APsichologinė problema visada sprendžiama anksčiau už fizinę
2. BVietinė problema paprastai sprendžiama anksčiau už sisteminę
3. CSisteminė problema paprastai sprendžiama anksčiau už vietinę
4. DLengvai išsprendžiama problema visada sprendžiama pirmiausia

When a charge nurse makes patient assignments, what does a patient’s “acuity” mean?

1. AHow long the patient has been in the hospital since admission
2. BHow ill the patient is and how much nursing care they need
3. CHow far the patient’s room is from the nurses’ station
4. DHow many visitors the patient is expected to have

Which task is appropriate to delegate to a nursing assistant?

1. AGiving a stable patient their oral medications
2. BFeeding a stable patient who has no swallowing problems
3. CAssessing a pressure injury on the sacrum
4. DFeeding a patient with newly diagnosed dysphagia after a stroke

A young adult has just started an SSRI antidepressant for major depression. What should the nurse monitor most closely in the first weeks?

1. AWeight loss from too much appetite
2. BRising blood glucose levels
3. CThoughts of suicide or self-harm
4. DHair growth and skin color

A patient is booked for a CT scan with iodinated contrast. Which of the patient’s medications may need to be held according to protocol?

1. AMetformin
2. BLevothyroxine
3. CAcetaminophen (paracetamol)
4. DOmeprazole

On a pediatric unit, which child does the nurse assess first?

1. AA child with a temperature of 38,2 °C after vaccination
2. BA child in a new arm cast with pink, warm fingers and pain of 5/10
3. CA child with croup who has a barking cough but no stridor at rest
4. DA child with asthma who is now quiet with very little air movement

Before surgery, a nurse is asked to witness a patient’s consent. The patient was given a sedative 30 minutes ago. What should the nurse do?

1. AWitness it quickly before the sedative takes full effect
2. BWitness it and write “sedated” beside the signature
3. CAsk a family member to sign on the patient’s behalf
4. DNot witness the consent and inform the surgeon

Atliekant START triažą, nevaikštantis suaugusysis kvėpuoja 24 kartus per minutę, turi stipininės arterijos pulsą, bet nevykdo paprastų nurodymų. Kokia kategorija jam suteikiama?

1. AJuoda (tikėtina mirtis)
2. BGeltona (atidėtina)
3. CRaudona (neatidėliotina)
4. DŽalia (lengva)