Užduočių lapas tema Prioritetų nustatymas ir delegavimas su atsakymais

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

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

Which maneuver opens the airway of an unresponsive adult with no suspected spinal injury?

1. AHead-tilt, chin-lift
2. BTurning the head sharply to one side
3. CRaising the legs above the heart
4. DJaw thrust without head tilt

In the FAST stroke check, what does the T stand for?

1. ATongue movement
2. BTremor of the hands
3. CTemperature
4. DTime to call emergency services

A nurse teaches a patient about levothyroxine. Which statement shows a need for further teaching?

1. A“I will take it at breakfast with my calcium tablet.”
2. B“I will take it at the same time each morning.”
3. C“I will keep taking it even when I feel well.”
4. D“I will take it on an empty stomach with a glass of water.”

Which medication order should the nurse question?

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

A patient’s urinary catheter has drained no urine for two hours, and the lower abdomen is swollen. What should the nurse do first?

1. ARemove the catheter and wait for the patient to void
2. BCheck the tubing for kinks or obstruction
3. CGive a prescribed diuretic straight away
4. DEncourage the patient to drink more water

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

Atliekant START triažą, nevaikštantis suaugusysis kvėpuoja 24 kartus per minutę, turi stipininės arterijos pulsą, bet nevykdo paprastų nurodymų. Kokia kategorija jam suteikiama?

1. AJuoda (tikėtina mirtis)
2. BŽalia (lengva)
3. CGeltona (atidėtina)
4. DRaudona (neatidėliotina)