Užduočių lapas tema Prioritetų nustatymas ir delegavimas su atsakymais

Kokią kategoriją masinių nelaimių triaže paprastai žymi žalia žymė?

1. ANeatidėliotina: reikia gydyti nedelsiant
2. BAtidėtina: sunkūs, bet šiuo metu stabilūs sužalojimai
3. CMirę arba tikėtina mirtis
4. DLengvi sužalojimai: „vaikštantys sužeistieji"

What does a “PRN” medication order mean?

1. AGive the drug at exactly the same time every single day
2. BGive the drug only before surgery
3. CGive the drug when needed, within the prescribed limits
4. DGive the drug once only, immediately

In mmHg, what is the normal range for arterial PaCO₂?

1. A22–26 mmHg
2. B80–100 mmHg
3. C35–45 mmHg
4. D7,35–7,45 mmHg

Stabilus suaugusysis skundžiasi pilvo skausmu, gyvybiniai rodikliai normalūs. Jam reikės kraujo tyrimų ir KT tyrimo. Koks ESI lygis tinka?

1. A1 lygis
2. B5 lygis
3. C4 lygis
4. D3 lygis

An older patient with dementia is restless at night and keeps trying to get out of bed. Which measure should the nurse try first?

1. ARaise all four bed rails so the patient cannot climb out
2. BApply wrist restraints for the rest of the night
3. CCheck for pain, thirst or a full bladder, and offer toileting
4. DGive a sedative from the as-needed list without first assessing the patient

A patient’s chest tube becomes disconnected from the drainage system. What should the nurse do first?

1. APlace the end of the tube in a bottle of sterile water
2. BRemove the tube and cover the site
3. CClamp the tube for the rest of the shift
4. DWait for the provider to arrive before doing anything else

A patient with SIADH has a serum sodium of 120 mEq/L and is newly confused. Which nursing action has priority?

1. ATeaching the patient about a low-sodium diet at home
2. BHelping the patient to walk in the corridor alone
3. CSeizure precautions and close neurological checks
4. DEncouraging the patient to drink plenty of water

A patient has peripheral arterial disease with a non-healing ulcer on the toe. Which advice about leg position is correct?

1. AKeep the legs raised above the heart as much as possible
2. BSit with the legs crossed to improve blood flow
3. CWrap the legs tightly with compression bandages
4. DKeep the legs level or slightly lowered, not raised