Užduočių lapas tema Prioritetų nustatymas ir delegavimas su atsakymais

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

1. AWhen pain is controlled and basic physical needs are met
2. BWhile in severe pain, so the lesson feels important
3. CDuring a period of acute breathlessness
4. DStraight after hearing bad news about a serious new diagnosis

Using the RACE fire response, what does the nurse do first when finding a fire in a patient’s room?

1. AClose doors to contain the fire and smoke
2. BRescue patients in immediate danger
3. CPull the fire alarm
4. DUse an extinguisher on the fire

Which triage method is designed for children in mass-casualty incidents?

1. AThe Braden Scale
2. BThe APGAR score
3. CJumpSTART
4. DThe Glasgow Coma Scale

A patient with heart failure gained 2 kg (about 4 lb) since yesterday and is more breathless when lying down. What should the nurse do first?

1. AEncourage extra fluids to correct the weight change
2. BAssess the lungs, oxygen saturation and swelling, then inform the provider
3. CLay the patient flat to help them breathe more easily
4. DRecord the weight on the chart and recheck it at the next weekly weigh-in

Which finding is an early sign of compartment syndrome in a patient with a lower leg fracture?

1. APain out of proportion to the injury that worsens when the toes are stretched
2. BMild bruising around the fracture site on the second day
3. CItching under the cast during the first week after it was applied
4. DA strong pedal pulse with warm, pink toes and pain that settles with analgesia

A patient with a head injury is being monitored. Which set of findings suggests rising intracranial pressure?

1. AFalling blood pressure, a fast pulse and warm, flushed dry skin
2. BRising systolic pressure, slow pulse and irregular breathing
3. CLow temperature, fast breathing and a strong appetite
4. DNormal blood pressure, normal pulse and clear speech

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

LPN/LVN praneša, kad stabilus pacientas dabar turi naują krūtinės skausmą. Ką turėtų daryti RN?

1. ALiepti LPN/LVN duoti prireikus skirtą nitroglicerino be įvertinimo
2. BPats įvertinti pacientą ir nuspręsti dėl tolesnių žingsnių
3. CPaprašyti LPN/LVN tuo pasirūpinti ir pranešti pamainos pabaigoje
4. DPaprašyti slaugytojo padėjėjo atlikti EKG ir laukti rezultato