Užduočių lapas tema Prioritetų nustatymas ir delegavimas su atsakymais

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Vardas: ____________________   Data: ____________

1.Lengvas

Which serum sodium value is within the normal adult range?

  1. A152 mEq/L (152 mmol/L)
  2. B140 mEq/L (140 mmol/L)
  3. C120 mEq/L (120 mmol/L)
  4. D128 mEq/L (128 mmol/L)
2.Lengvas

Kuris pacientas yra stabiliausias?

  1. APacientas praėjus dviem dienoms po kelio operacijos, skausmas 3/10, normalūs gyvybiniai rodikliai
  2. BPacientas, kurio kraujospūdis nukrito nuo 132/80 iki 90/56 mmHg
  3. CPacientas, kuris naujai susimaišė
  4. DPacientas su nauju krūtinės skausmu
3.Lengvas

When is a patient most ready to learn about self-care?

  1. AStraight after hearing bad news about a serious new diagnosis
  2. BWhen pain is controlled and basic physical needs are met
  3. CWhile in severe pain, so the lesson feels important
  4. DDuring a period of acute breathlessness
4.Vidutinis

A nurse teaches a patient with COPD pursed-lip breathing. Which statement shows a need for further teaching?

  1. A“I will breathe in slowly through my nose.”
  2. B“I will breathe out slowly through pursed lips.”
  3. C“I will breathe in through my mouth and out quickly through my nose.”
  4. D“I will make my breath out about twice as long as my breath in.”
5.Vidutinis

Using the Emergency Severity Index, which level fits a 70-year-old with chest pressure that suggests a heart attack, but normal vital signs?

  1. ALevel 5
  2. BLevel 2
  3. CLevel 4
  4. DLevel 1
6.Vidutinis

A patient on a nasal cannula at 6 L/min still has a low SpO₂. What should the nurse do?

  1. AReport it, because a different oxygen device is likely to be needed
  2. BRemove the oxygen to see if the SpO₂ changes
  3. CTurn the nasal cannula up to 15 L/min
  4. DRecheck the SpO₂ at the next routine set of observations in four hours
7.Sunkus

Two call lights go on at the same time. One patient has pain of 7/10 after surgery. The other is a confused patient at high risk of falls who is climbing out of bed alone. Who does the nurse go to first?

  1. AWhichever patient’s room is closer to the station
  2. BThe patient in pain after surgery
  3. CThe confused patient climbing out of bed
  4. DThe patient whose call light went on first
8.Sunkus

A patient on airborne precautions for suspected tuberculosis must go to the radiology department. What should the patient wear during transport?

  1. ANothing, if the trip is short
  2. BA surgical mask
  3. CGloves and a gown only
  4. DA fit-tested N95 respirator

Atsakymai

  1. 1. B · 140 mEq/L (140 mmol/L)
  2. 2. A · Pacientas praėjus dviem dienoms po kelio operacijos, skausmas 3/10, normalūs gyvybiniai rodikliai
  3. 3. B · When pain is controlled and basic physical needs are met
  4. 4. C · “I will breathe in through my mouth and out quickly through my nose.”
  5. 5. B · Level 2
  6. 6. A · Report it, because a different oxygen device is likely to be needed
  7. 7. C · The confused patient climbing out of bed
  8. 8. B · A surgical mask

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