Užduočių lapas tema Prioritetų nustatymas ir delegavimas su atsakymais

A conscious adult with hypoglycemia can swallow safely. What should the nurse give first?

1. AThe next dose of insulin
2. BA fast-acting carbohydrate by mouth, such as glucose tablets or juice
3. CA large protein meal
4. DIV glucose through a new cannula as the first choice for every patient

Which arterial blood pH is within the normal range?

1. A7,28
2. B7,52
3. C7,40
4. D7,18

Where is intramuscular epinephrine usually injected for anaphylaxis?

1. AThe outer middle thigh
2. BThe buttock
3. CThe abdomen under the skin
4. DA vein in the hand

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

1. AThoughts of suicide or self-harm
2. BHair growth and skin color
3. CWeight loss from too much appetite
4. DRising blood glucose levels

A nurse takes a telephone order from a provider. What must the nurse do?

1. AAsk the ward clerk to take the order on the nurse’s behalf instead
2. BRemember the order and write it in the chart at the end of the shift
3. CWrite the order down and read it back to the provider to confirm it
4. DCarry out the order first and ask the provider to confirm it later

A nurse has called the rapid response team for a deteriorating patient. What should the nurse do while waiting for the team?

1. AStay with the patient, give oxygen as prescribed and have recent vital signs ready
2. BLeave the patient for a few minutes to find the relatives and explain what is happening
3. CGive a dose of every as-needed medication on the chart
4. DGo to the station to finish documentation for other patients

A child is admitted with a suspected Wilms tumor (nephroblastoma). Which instruction is most important for all staff?

1. AEncourage the child to play contact sports
2. BGive a warm bath with abdominal massage
3. CMeasure abdominal girth by pressing firmly
4. DDo not palpate the abdomen

A 2-month-old infant has a spiral fracture of the femur. The parents say the baby rolled off the sofa. What should the nurse recognize?

1. AThe injury does not fit the infant’s development, so possible abuse must be reported
2. BNo further action is needed once the fracture is treated
3. CInfants of this age often roll off furniture and break bones in this way
4. DA spiral fracture in an infant is always caused by birth trauma