Užduočių lapas tema Prioritetų nustatymas ir delegavimas su atsakymais

Which three things does START triage check in a non-walking adult?

1. AAirway, blood glucose and pupils
2. BPulse, blood pressure and body temperature
3. CRespirations, perfusion and mental status
4. DPain score, mobility and age

Which protective equipment is needed for droplet precautions?

1. AGloves only, with no mask
2. BA fitted N95 respirator at all times in the room
3. CA surgical mask when close to the patient
4. DA lead apron and goggles

Ką delegavime reiškia „teisinga priežiūra ir vertinimas"?

1. APamainos vadovė pamainos pabaigoje pasirašo visas deleguotas užduotis
2. BSlaugytojas stebi kiekvieną sekundę kiekvienos deleguotos užduoties
3. CSlaugytojas seka eigą, prireikus įsikiša ir patikrina rezultatą
4. DDeleguojamas asmuo pats patikrina ir pasirašo savo darbą

A patient with mild dysphagia after a stroke is eating. Which technique helps make swallowing safer?

1. ATalking while eating to stay alert
2. BLying flat with the head tilted back
3. CDrinking thin fluids quickly through a straw between bites
4. DSitting upright with the chin tucked down while swallowing

Which action helps prevent a catheter-associated urinary tract infection?

1. AKeeping the drainage bag below the level of the bladder
2. BLeaving the catheter in place longer than needed
3. CDisconnecting the bag every shift to empty it
4. DRaising the drainage bag above the bladder when walking

Kuris radinys yra netikėtas ir reikalauja skubaus tolesnio veiksmo?

1. APacientas su žinoma ciroze turi pageltusią odą, kuri nepakito
2. BPacientas, ilgai sergantis LOPL, turi statinės formos krūtinės ląstą
3. CPacientui praėjus dienai po laparoskopinės tulžies pūslės operacijos skauda dešinį petį
4. DPacientui, gaunančiam heparino infuziją, atsirado naujos juodos, dervos pavidalo išmatos

A patient with untreated hyperthyroidism has surgery and develops a temperature of 40 °C, a heart rate of 160/min and severe agitation. What is most likely happening?

1. AOpioid withdrawal
2. BThyroid storm
3. CMyxedema coma
4. DA normal reaction to pain

At the end of a shift, the nurse’s relief has not arrived and the patients are acutely ill. What should the nurse do?

1. ALeave a written note at the station and go home
2. BStay and tell the charge nurse, and hand over before leaving
3. CAsk a nursing assistant to watch the patients until someone comes
4. DLeave on time, because the shift has officially ended