Užduočių lapas tema Prioritetų nustatymas ir delegavimas su atsakymais

Pacientui nustatyta nauja giliųjų venų trombozė, be to, jis sako jaučiantis vienatvę skyriuje. Pagal Maslou hierarchiją, kuris poreikis pirmas?

1. ASu tromboze susijęs fiziologinis poreikis
2. BSavigarbos ir pagarbos poreikis
3. CMeilės ir priklausymo poreikis hospitalizacijos metu
4. DSavęs aktualizavimo poreikis

Which patient need belongs to the love and belonging level of Maslow’s hierarchy?

1. ANeeding pain relief after surgery
2. BWanting praise for progress in rehabilitation
3. CWanting family members to visit
4. DNeeding the call light within reach

In nursing management, what is an “assignment”?

1. AA written order from a prescriber for a treatment
2. BHanding legal accountability for a patient over to a nursing colleague
3. CAsking a colleague to do a task outside their usual scope
4. DGiving staff care activities that are within their own role and scope

A patient arrives in the recovery room after general anesthesia. What does the nurse assess first?

1. AAirway patency and breathing
2. BThe surgical dressing and the drains
3. CThe pain score
4. DUrine output

The day after a total thyroidectomy, a patient reports tingling around the mouth and in the fingers. What should the nurse do first?

1. AReassure the patient that this is normal after neck surgery
2. BEncourage deep breaths into a paper bag until it passes
3. CCheck for signs of low calcium and inform the provider
4. DGive the patient’s routine oral iron supplement early

A nurse teaches a patient who uses crutches. Which statement shows a need for further teaching?

1. A“I will lean on the crutch pads under my arms to rest.”
2. B“I will remove loose rugs from the floor at home.”
3. C“I will keep the crutch tips in good condition.”
4. D“I will take my weight on my hands, not on my armpits.”

Pacientas gauna parenterinę mitybą per centrinę liniją. Kuris radinys reikalauja neatidėliotinų veiksmų?

1. A150 mg/dL (8,3 mmol/L) gliukozė, kol vyksta infuzija
2. BPrakaitavimas, drebulys ir 62 mg/dL (3,4 mmol/L) gliukozė, infuzijai netikėtai nutrūkus
3. C0,2 kg svorio padidėjimas nuo vakar
4. DSausas, nepažeistas tvarstis ant linijos

A provider asks a nurse to perform a procedure that is outside the nurse’s scope of practice. What should the nurse do?

1. ADo it, because the provider gave the instruction
2. BAsk a nursing assistant to do it instead
3. CDo it just this once and promise the provider not to do it again
4. DDecline, explain why and suggest who can safely do it