Užduočių lapas tema Prioritetų nustatymas ir delegavimas su atsakymais

Kuriuo suaugusiojo radiniu slaugytojas turėtų imtis veiksmų pirmiausia?

1. AŠirdies susitraukimų dažnis 98/min
2. BTemperatūra 37,8 °C (100 °F)
3. CKvėpavimo dažnis 8/min ir mieguistumas
4. DKraujospūdis 138/88 mmHg ir visiškai budrus

Once a nursing assistant has accepted a delegated task, who is responsible for doing it correctly?

1. AThe patient receiving the care
2. BThe assistant who accepted the task
3. COnly the nurse manager
4. DNobody, once the task has been delegated

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

1. APulse, blood pressure and body temperature
2. BPain score, mobility and age
3. CRespirations, perfusion and mental status
4. DAirway, blood glucose and pupils

A malnourished patient admitted with alcohol use disorder needs IV glucose. Which vitamin is given before or with it?

1. AVitamin D (calciferol)
2. BThiamine (vitamin B₁)
3. CVitamin C (ascorbic acid)
4. DVitamin K (phytonadione)

Slaugytojo padėjėjas praneša, kad paciento kraujospūdis 168/98 mmHg (anksčiau buvo 130/80), ir pacientą skauda galvą. Ką turėtų daryti RN?

1. AUžrašyti reikšmę ir tęsti vaistų davimo ratą
2. BĮvertinti pacientą, pakartotinai išmatuoti kraujospūdį ir ieškoti simptomų
3. CPaprašyti padėjėjo dabar duoti prireikus skirtą antihipertenzinį vaistą
4. DPaprašyti padėjėjo pakartotinai išmatuoti kraujospūdį po valandos

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

1. ARising blood glucose levels
2. BWeight loss from too much appetite
3. CHair growth and skin color
4. DThoughts of suicide or self-harm

A patient taking an MAO inhibitor antidepressant is taught about diet. Which statement shows a need for further teaching?

1. A“A sudden severe headache is a warning sign.”
2. B“I will avoid tap beer and red wine.”
3. C“I can still eat aged cheese and cured salami.”
4. D“I will check with the pharmacist before cold remedies.”

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 LPN/LVN writes a new teaching plan and evaluates it at the end of the shift
3. CThe patient is discharged with a leaflet to read at home
4. DThe nursing assistant shows the patient again at lunch