Užduočių lapas tema Prioritetų nustatymas ir delegavimas su atsakymais

A medication error has just reached a patient. What is the nurse’s first action?

1. ACorrect the entry on the medication record
2. BComplete an incident report before doing anything else
3. CAssess the patient for any effects of the error
4. DTell the nurse manager at the end of the shift

What is a transient ischemic attack (TIA)?

1. AA stroke that leaves permanent weakness or paralysis on one side of the body
2. BA type of migraine with no link to stroke
3. CBrief stroke-like symptoms that resolve, warning of a possible stroke
4. DA heart attack that affects the brain

In the Emergency Severity Index (ESI), which patient fits level 2?

1. AA stable patient who needs no resources
2. BA stable patient who needs one resource
3. CA patient who needs an immediate life-saving intervention to survive
4. DA high-risk situation, new confusion, or severe pain or distress

A patient is receiving a blood transfusion. Which task can the nurse delegate to a nursing assistant?

1. AStarting the transfusion once the blood arrives
2. BMeasuring and reporting vital signs at the times set by the nurse
3. CAssessing the patient for signs of a transfusion reaction
4. DDeciding whether to stop the transfusion if the patient has chills

A parent calls to say their toddler has just swallowed drain cleaner. What should the nurse advise?

1. ADo not make the child vomit; call poison control or emergency services now
2. BGive a large glass of fizzy drink or milk to dilute the cleaner before calling anyone
3. CMake the child vomit straight away to bring up the chemical
4. DWait to see whether the child develops any symptoms first

Which patient on an addiction unit should the nurse see first?

1. ALast drink this morning; asking when lunch will arrive
2. BLast drink two days ago; now shaking, sweating, heart rate 124/min and seeing insects
3. CIn recovery for a year; came to the clinic today for a routine check and a repeat prescription
4. DLast drink one week ago; asking about support groups

An infant with pyloric stenosis has repeated projectile vomiting. Which acid-base imbalance is most likely?

1. AMetabolic alkalosis
2. BRespiratory alkalosis
3. CMetabolic acidosis
4. DRespiratory acidosis

Nelaimės metu, esant labai ribotiems ištekliams, auka su sunkiais nudegimais beveik visame kūne žymima juoda. Kuris principas paaiškina šį sprendimą?

1. APirmiausia gydyti jauniausias aukas
2. BGydyti aukas jų atvykimo eilės tvarka
3. CPirmiausia gydyti sunkiausiai sužeistą asmenį
4. DDaugiausia gero daugiausia žmonių