Užduočių lapas tema Prioritetų nustatymas ir delegavimas su atsakymais

Which laboratory finding is expected in a patient with chronic kidney disease who receives dialysis?

1. AA raised serum creatinine
2. BA platelet count of 900,000/mm³
3. CA serum sodium of 160 mEq/L
4. DA low serum creatinine

Ką Skubios pagalbos sunkumo indekse (ESI) reiškia 1 lygis?

1. AReikia dviejų ar daugiau išteklių
2. BReikia neatidėliotinos gyvybę gelbstinčios intervencijos
3. CPakankamai stabilus, kad būtų priimtas greitojo priėmimo zonoje
4. DTai mažiausiai skubus pacientas

When is the Apgar score usually assessed?

1. ABefore the baby is born
2. BOnly at 24 hours after birth
3. CAt the first postnatal clinic visit
4. DAt 1 and 5 minutes after birth

A patient taking clozapine reports a sore throat and fever. What is the priority action?

1. AOffer throat lozenges and continue the usual dose
2. BIncrease the dose because the symptoms suggest a relapse
3. CAdvise the patient to gargle with warm salt water and rest in bed
4. DHold the dose and report so the white cell count can be checked

A patient has a blood pressure of 210/120 mmHg. Which finding would make this a hypertensive emergency?

1. AMild anxiety about the high reading on the monitor
2. BNew chest pain or confusion suggesting organ damage
3. CForgetting to take the blood pressure tablet this morning
4. DA history of high blood pressure for ten years

An anxious patient is breathing very fast and has tingling fingers. The blood gas shows pH 7,51 and PaCO₂ 29 mmHg (3,9 kPa). What should the nurse do first?

1. AStay with the patient and coach slow, calm breathing
2. BGive oxygen at the highest flow and leave the room
3. CGive IV sodium bicarbonate as soon as it can be found
4. DEncourage the patient to breathe even faster

A patient takes lithium. Which statement shows a need for further teaching?

1. A“I will take ibuprofen every day for my headaches.”
2. B“I will go for my blood tests as planned.”
3. C“I will drink enough fluid every day.”
4. D“I will keep my daily salt intake about the same as usual.”

Using ESI, a stable adult with abdominal pain will need blood tests and a CT scan, but has a heart rate of 130/min. Which statement is correct?

1. AThe patient is level 5 because the pain is not severe
2. BVital signs never change the ESI level
3. CThe patient is level 4 because the blood tests and the scan count as one resource
4. DThe nurse should consider level 2 because of the danger-zone vital sign