Užduočių lapas tema Prioritetų nustatymas ir delegavimas su atsakymais

Kuri paciento problema paprastai yra aukščiausio prioriteto?

1. AŪmus skausmas
2. BNerimas
3. CŽinių apie vaistus trūkumas
4. DKvėpavimo takų obstrukcija

What does a “STAT” order mean?

1. ACarry it out within the next 24 hours
2. BCarry it out at the next routine round
3. CCarry it out only if the patient asks for it
4. DCarry it out immediately

What does NPO mean on a patient’s care plan?

1. ANormal patient observations
2. BNot for physical therapy
3. CNothing by mouth
4. DNo pain observed

Which patient is most suitable for the nurse to assign to a nurse who has just finished orientation?

1. AA patient with a new tracheostomy who needs frequent suctioning
2. BA patient with sepsis whose blood pressure is falling
3. CA patient with stable cellulitis on scheduled IV antibiotics
4. DA patient on a continuous heparin infusion with rising aPTT values

A patient taking clozapine reports a sore throat and fever. What is the priority action?

1. AIncrease the dose because the symptoms suggest a relapse
2. BAdvise the patient to gargle with warm salt water and rest in bed
3. COffer throat lozenges and continue the usual dose
4. DHold the dose and report so the white cell count can be checked

A patient with a head injury is being monitored. Which set of findings suggests rising intracranial pressure?

1. ARising systolic pressure, slow pulse and irregular breathing
2. BLow temperature, fast breathing and a strong appetite
3. CFalling blood pressure, a fast pulse and warm, flushed dry skin
4. DNormal blood pressure, normal pulse and clear speech

A patient with MRSA in a wound is on contact precautions. Which instruction to the nursing assistant is correct?

1. AWear a respirator mask in the room, because MRSA in a wound spreads through the air to others
2. BNo special precautions are needed if the wound is covered with a dressing
3. CWear a gown and gloves for contact with the patient or the room, and use dedicated equipment
4. DOnly wear gloves when touching the wound itself; skin and bedding are safe

A patient in hypovolemic shock is receiving IV fluids. Which finding best shows that the treatment is working?

1. AUrine output at least 0,5 mL/kg/h and clearer thinking
2. BNew crackles at both lung bases
3. CCooler, paler skin on the arms and legs
4. DA heart rate that keeps rising after each bag of fluid