Užduočių lapas tema Prioritetų nustatymas ir delegavimas su atsakymais

What does a “STAT” order mean?

1. ACarry it out only if the patient asks for it
2. BCarry it out at the next routine round
3. CCarry it out within the next 24 hours
4. DCarry it out immediately

Which finding is one of the quick SOFA (qSOFA) criteria for possible sepsis?

1. ABlood glucose above 100 mg/dL
2. BTemperature below 36,5 °C on one reading
3. CRespiratory rate of 22/min or more
4. DHeart rate below 60/min

Which patient needs a single room with airborne precautions?

1. AA patient with a urinary tract infection and a catheter
2. BA patient with type 2 diabetes
3. CA patient with suspected pulmonary tuberculosis
4. DA patient with a fractured femur

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

A child with fever and headache develops a purple rash that does not fade when pressed with a glass. What should the nurse do?

1. AApply a soothing cream to the rash
2. BGive acetaminophen (paracetamol) and reassess in four hours
3. CTreat it as an emergency and escalate at once
4. DAdvise the family to see their doctor next week

A patient with asthma uses a peak flow meter. A reading below 50% of personal best is in the red zone. Which statement shows correct understanding?

1. A“I will stop all my inhalers until the reading is back up.”
2. B“I will use my reliever inhaler and get emergency help straight away.”
3. C“I will wait until tomorrow morning to see if the reading gets better on its own.”
4. D“I will go for a short run to open up my lungs.”

Kurį inkstų skyriaus pacientą slaugytojas turėtų pamatyti pirmiausia?

1. APacientą, gydomą hemodialize, praleidusį vakarykštę procedūrą, o dabar turintį raumenų silpnumą ir nereguliarų pulsą
2. BPacientą, kurio arterioveninė fistulė turi stiprų virpesį ir ūžesį
3. CPacientą, gydomą peritonine dialize, kurio nuleistas skystis skaidrus
4. DPacientą, prašantį patarimo apie mažai fosfatų turinčią dietą

A patient admitted with a stroke this morning asks for a glass of water. What should the nurse do first?

1. AAsk the family to help the patient drink while sitting upright in a chair at the bedside
2. BGive the water through a straw so it goes down slowly
3. CCheck that a swallow screen has been done before giving anything by mouth
4. DGive thickened fluids without checking the swallow