Užduočių lapas tema Prioritetų nustatymas ir delegavimas su atsakymais

Which patient is unstable?

1. AA patient with long-standing arthritis pain of 3/10
2. BA patient with a healing leg wound and normal vital signs this morning
3. CA patient with a new irregular pulse who says they feel dizzy
4. DA patient waiting for a planned hip X-ray

Which body temperature is a fever in an adult?

1. A36,8 °C
2. B38,5 °C
3. C36,4 °C
4. D37,1 °C

Maslou hierarchijoje, kuris lygmuo eina iškart po fiziologinių poreikių?

1. AMeilė ir priklausymas
2. BSavigarba ir pripažinimas
3. CSavęs aktualizavimas
4. DSaugumas ir apsauga

A patient wants to leave the hospital against medical advice. What should the nurse do?

1. ALock the door so the patient cannot leave the unit
2. BInform the provider, explain the risks and document the discussion
3. CLet the patient leave without telling anyone
4. DHide the patient’s clothes and belongings until the provider arrives

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

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

A patient receiving chemotherapy has a temperature of 38,3 °C and a very low neutrophil count. What should the nurse do?

1. ADocument the reading and mention it at the next handover
2. BRecheck the temperature in four hours before telling anyone
3. CReport it at once, because cultures and antibiotics are needed quickly
4. DGive a cool shower and offer extra fluids, then wait and see what happens

A patient with anorexia nervosa is admitted. Which finding is the priority?

1. ARefuses to eat in front of other people
2. BSays she feels fat although she is very thin
3. CHas fine, downy hair on her arms
4. DHeart rate 38/min and potassium 2,8 mEq/L

Kurį pacientą slaugytojas turėtų pirmiausia eskaluoti skubaus reagavimo komandai?

1. APacientą, kuriam žinoma hipertenzija, kurio kraujospūdis 152/94 mmHg ir kuris jaučiasi gerai
2. BPacientą, sergantį šlapimo takų infekcija, kuris naujai susimaišė, kvėpavimo dažnis 26/min, o sistolinis kraujospūdis 94 mmHg
3. CPacientą, sergantį celiulitu, kurio temperatūra 38,1 °C, o kiti gyvybiniai rodikliai normalūs
4. DPacientą po kelio operacijos su 6/10 skausmu ir normaliais gyvybiniais rodikliais