Užduočių lapas tema Prioritetų nustatymas ir delegavimas su atsakymais

Which value is the usual target INR for a patient taking warfarin for atrial fibrillation?

1. A4,0–5,0
2. B0,5–1,0
3. C2,0–3,0
4. D6,0–7,0

Which finding in an infant is a sign of breathing difficulty?

1. AWet diapers every few hours
2. BPink, warm hands and feet
3. CNasal flaring
4. DA strong cry

A nurse is worried about a patient’s worsening condition, and the provider does not respond to the concern. Following the chain of command, whom does the nurse usually contact next?

1. AThe hospital’s chief executive
2. BThe patient’s next of kin
3. CThe pharmacy technician on duty that day
4. DThe charge nurse or nursing supervisor

A patient has a nasogastric tube on suction. Which task can the nurse delegate to a nursing assistant?

1. AChecking the tube’s position
2. BAssessing the drainage for blood
3. CIrrigating the tube when it blocks
4. DGiving mouth care

A patient on a nasal cannula at 6 L/min still has a low SpO₂. What should the nurse do?

1. AReport it, because a different oxygen device is likely to be needed
2. BTurn the nasal cannula up to 15 L/min
3. CRemove the oxygen to see if the SpO₂ changes
4. DRecheck the SpO₂ at the next routine set of observations in four hours

A conscious patient with hypoglycemia drank juice 15 minutes ago. The glucose is now 62 mg/dL (3,4 mmol/L). What should the nurse do next?

1. AWait another hour, because juice can take a long time to work
2. BGive the next scheduled dose of rapid-acting insulin with the meal
3. CGive another serving of fast-acting carbohydrate and recheck in 15 minutes
4. DRecord the result and recheck the glucose at the usual time before the evening meal

A patient has a potassium of 7,0 mEq/L with peaked T waves. Several drugs are prescribed. Which one is usually given first to protect the heart?

1. AIV furosemide
2. BIV calcium gluconate
3. COral sodium bicarbonate
4. DOral potassium binder

A medical-unit nurse is floated to intensive care and given a patient on a ventilator, which the nurse has never managed. What is the best response?

1. ARefuse to work and go home, because the assignment is unsafe
2. BLeave the intensive care unit and go back to the medical unit without telling anyone
3. CTell the charge nurse about the gap, accept tasks within competence and ask for support
4. DAccept the full assignment without comment to avoid conflict