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)

Which statement about the nursing process is correct when setting priorities?

1. AImplementation comes first, so care starts quickly
2. BAssessment comes first, because the other steps depend on it
3. CPlanning comes first, before seeing the patient
4. DEvaluation comes first, before any patient data have been collected

In nursing management, what is an “assignment”?

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

Which finding is an early sign of compartment syndrome in a patient with a lower leg fracture?

1. APain out of proportion to the injury that worsens when the toes are stretched
2. BMild bruising around the fracture site on the second day
3. CItching under the cast during the first week after it was applied
4. DA strong pedal pulse with warm, pink toes and pain that settles with analgesia

A patient taking lisinopril develops swelling of the lips and tongue. What should the nurse do first?

1. AGive the next dose of lisinopril with water
2. BApply a cold pack and recheck in an hour
3. CAssess the airway and call for urgent help
4. DTell the patient this is a common, harmless effect

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

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

A nurse sees a colleague put a vial of an opioid into their own pocket instead of returning it. What should the nurse do?

1. AReport it to the nurse manager according to policy
2. BTell the patients to watch the colleague carefully
3. CAsk the colleague to share the vial with them
4. DSay nothing, because it is not their business

A patient with major depression has been withdrawn for weeks but is suddenly calm and cheerful and gives away her belongings. What should the nurse suspect?

1. AA full recovery, so observation can be reduced
2. BA raised risk of suicide, because she may have made a decision
3. CA side effect of her antidepressant medicine that needs no special action
4. DThat she is getting ready for discharge as planned