Užduočių lapas tema Prioritetų nustatymas ir delegavimas su atsakymais

Which white blood cell count suggests an infection or inflammation?

1. A6,500/mm³ (6,5 × 10⁹/L)
2. B8,200/mm³ (8,2 × 10⁹/L)
3. C18,000/mm³ (18 × 10⁹/L)
4. D7,000/mm³ (7 × 10⁹/L)

What is the CIWA scale used to assess?

1. AThe risk of a pressure injury
2. BThe severity of a newborn’s jaundice
3. CThe depth of a burn wound
4. DThe severity of alcohol withdrawal

Which symptoms are classic signs of digoxin toxicity?

1. AHair loss and weight gain
2. BA rash, high fever and swollen lymph nodes in the neck
3. CNausea, poor appetite and yellow-green visual halos
4. DHigh blood sugar and increased thirst

A pregnant nurse is on the unit. Which patient should the charge nurse avoid assigning to her?

1. AA patient with a fractured wrist
2. BA patient with type 2 diabetes who needs insulin teaching before discharge
3. CA patient after a hip replacement
4. DA patient with a sealed radioactive implant for cervical cancer

Slaugytojas prašo slaugytojo padėjėjo „įvertinti paciento skausmą ir nuspręsti, ar pacientui reikia daugiau vaistų". Kuri delegavimo „teisinga" sąlyga pažeista?

1. ATeisinga priežiūra ir vertinimas
2. BTeisinga užduotis
3. CTeisingas asmuo
4. DTeisingos aplinkybės

Which medication order should the nurse question?

1. APotassium chloride oral solution diluted in juice
2. BOral potassium chloride with food
3. CPotassium chloride by IV push
4. DPotassium chloride diluted in an IV bag via a pump

After the RN taught a patient to inject insulin, an LPN/LVN reports that the patient still cannot draw up the dose correctly. What should happen next?

1. AThe nursing assistant shows the patient again at lunch
2. BThe patient is discharged with a leaflet to read at home
3. CThe LPN/LVN writes a new teaching plan and evaluates it at the end of the shift
4. DThe RN reassesses the patient’s learning needs and adjusts the teaching

A trauma patient has an open leg fracture, absent breath sounds on one side, a trachea shifted to the other side and a falling blood pressure. Which problem is the priority?

1. AThe open fracture of the leg
2. BThe risk of wound infection
3. CThe suspected tension pneumothorax
4. DThe pain from the fracture