Užduočių lapas tema Prioritetų nustatymas ir delegavimas su atsakymais

Kuri paciento problema paprastai yra aukščiausio prioriteto?

1. AŪmus skausmas
2. BKvėpavimo takų obstrukcija
3. CŽinių apie vaistus trūkumas
4. DNerimas

In most settings, which task is kept for the RN rather than assigned to an LPN/LVN?

1. AMeasuring vital signs
2. BReinforcing teaching already given
3. CGiving scheduled oral medications
4. DGiving an IV push medication

Where is intramuscular epinephrine usually injected for anaphylaxis?

1. AA vein in the hand
2. BThe outer middle thigh
3. CThe abdomen under the skin
4. DThe buttock

A patient on hemodialysis has an arteriovenous fistula in the left arm. Which instruction should the nurse give the nursing assistant?

1. ADo not measure blood pressure on the left arm
2. BHelp the patient carry shopping bags on the left arm
3. CKeep the left arm wrapped tightly in a bandage at night
4. DMeasure blood pressure on the left arm only, every 4 hours

A nasogastric tube has just been placed for feeding. What must happen before the first feed is given?

1. AThe patient is asked if the tube feels comfortable
2. BPlacement is confirmed by an approved method
3. CThe tube is flushed with a large volume of water
4. DThe feed is started slowly to see if the patient coughs

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

Pacientas, sergantis širdies nepakankamumu, dūsta, abiejuose plaučiuose girdimi karkalai. Kuri veiksmų eilė teisinga?

1. APaguldyti pacientą ilsėtis, tada pradėti palaikomuosius skysčius į veną
2. BPirmiausia duoti paskirtus geriamuosius vaistus, tada pasodinti pacientą
3. CPirmiausia pasverti pacientą, tada po keturių valandų iš naujo įvertinti kvėpavimą
4. DPasodinti tiesiai, duoti deguonies pagal paskyrimą, tada kviesti gydytoją

A competent adult patient refuses a blood transfusion for religious reasons. What should the nurse do?

1. ATell the patient that refusing treatment is not allowed in hospital
2. BRespect the refusal, check the patient understands the risks and inform the provider
3. CGive the transfusion while the patient is asleep, because saving their life comes first
4. DAsk the family to persuade the patient until they agree