Užduočių lapas tema Prioritetų nustatymas ir delegavimas su atsakymais

Maslou hierarchijoje, kuris lygmuo eina iškart po fiziologinių poreikių?

1. AMeilė ir priklausymas
2. BSaugumas ir apsauga
3. CSavigarba ir pripažinimas
4. DSavęs aktualizavimas

Which strategy helps a nurse organize care at the start of a shift?

1. ARank the tasks by urgency after report and plan the time around them
2. BWait until problems come up and then decide what to do
3. CDo the tasks in strict order of room number, whatever their urgency
4. DDo the quickest tasks first so the list gets shorter

Which symptoms suggest high blood glucose (hyperglycemia)?

1. ASudden hunger with cold, clammy skin
2. BSweating, shaking and a fast pulse
3. CIncreased thirst and passing more urine
4. DConfusion that improves quickly with juice

An arterial blood gas shows pH 7,28, PaCO₂ 40 mmHg (5,3 kPa) and HCO₃⁻ 16 mEq/L (mmol/L). How should the nurse interpret it?

1. AMetabolic alkalosis
2. BMetabolic acidosis
3. CRespiratory alkalosis
4. DRespiratory acidosis

Two hours after birth, the nurse finds the uterus firm but above the umbilicus and pushed to the right. What should the nurse do first?

1. AGive a dose of oxytocin straight away
2. BHelp the patient empty her bladder
3. CMassage the uterus firmly for ten minutes
4. DAsk the patient to lie still for another hour

A patient with a valid do-not-resuscitate order (DNR; called DNACPR in the UK) stops breathing and has no pulse. What should the nurse do?

1. AStart chest compressions but not rescue breaths
2. BCall the cardiac arrest team and let them decide
3. CFollow the DNR order and do not start CPR
4. DStart CPR and stop when the family arrives

Vyresnio amžiaus pacientas, sergantis pneumonija, naujai sumišęs. Kuris veiksmas eina pirmas?

1. AUždėti riešų varžtus, kad pacientas netampytų veninės linijos
2. BDuoti paskirtą prireikus vartojamą raminamąjį
3. CPaklausti šeimos, ar tai pacientui normalu
4. DPatikrinti deguonies įsotinimą ir kitus gyvybinius rodiklius

After handover on a medical unit, which patient should the nurse see first?

1. ADay 2 after a hernia repair, pain 6/10, oral analgesic due in 20 minutes, wants it now
2. BPneumonia on 2 L/min oxygen, SpO₂ 93%, talking in full sentences
3. CNew atrial fibrillation, heart rate 150/min, blood pressure 86/50 mmHg, dizzy
4. DDeep vein thrombosis on a heparin infusion, aPTT in the target range