Užduočių lapas tema Prioritetų nustatymas ir delegavimas su atsakymais

Užduotis, kuriai reikia vertinimo, slaugos sprendimo ar įvertinimo, turėtų būti:

1. ADeleguota patyrusiam slaugytojo padėjėjui
2. BVisada deleguota LPN/LVN
3. CPavesta paciento šeimai
4. DAtlikta registruotojo slaugytojo

Kuri mokymo veikla priklauso registruotajam slaugytojui, o ne LPN/LVN?

1. APriminimas pacientui kas valandą naudoti paskatinamąjį spirometrą
2. BPirmas mokymas apie naują diagnozę ir jos gydymą
3. CRN jau duoto mokymo pakartojimas
4. DLapelio, kurį RN jau paaiškino, įteikimas

In nursing management, what is an “assignment”?

1. AHanding legal accountability for a patient over to a nursing colleague
2. BAsking a colleague to do a task outside their usual scope
3. CA written order from a prescriber for a treatment
4. DGiving staff care activities that are within their own role and scope

Which patient should the RN see first after receiving a report from the night nurse?

1. ADay 2 after bowel surgery, asking to start a soft diet
2. BDay 4 after bowel surgery, waiting for discharge teaching
3. CDay 1 after bowel surgery, new chest pain and heart rate 110/min
4. DDay 3 after bowel surgery, wants a shower and hair wash before breakfast

A patient with heart failure gained 2 kg (about 4 lb) since yesterday and is more breathless when lying down. What should the nurse do first?

1. ALay the patient flat to help them breathe more easily
2. BAssess the lungs, oxygen saturation and swelling, then inform the provider
3. CRecord the weight on the chart and recheck it at the next weekly weigh-in
4. DEncourage extra fluids to correct the weight change

A patient taking lithium has vomiting, diarrhea and a new coarse tremor. What should the nurse do?

1. AHold the next dose and report for an urgent lithium level
2. BEncourage the patient to cut down on salt and fluids
3. CReassure the patient that a coarse tremor is expected at first
4. DGive the dose with food to reduce the stomach upset

A chemical cleaning fluid splashes into a patient’s eye. What should the nurse do first?

1. ARub the eye gently with a clean tissue to remove the chemical
2. BFlush the eye with plenty of water or saline straight away
3. CGive antibiotic eye drops first
4. DCover the eye with a dry patch and wait for the provider

An RN sees an LPN/LVN crushing an extended-release metoprolol tablet to mix with applesauce. What should the RN do?

1. ALet the LPN/LVN continue, since crushing makes the tablet easier to swallow
2. BTell the LPN/LVN to give half of the crushed tablet now and the other half at lunchtime
3. CReport the LPN/LVN at the end of the month without saying anything now
4. DStop the LPN/LVN and contact the prescriber or pharmacist about another form