Užduočių lapas tema Prioritetų nustatymas ir delegavimas su atsakymais

A patient has a Glasgow Coma Scale score of 8. What is the main concern?

1. AThe patient can safely eat and drink without help
2. BThe patient only has a mild headache
3. CThe patient is fully alert and oriented
4. DThe patient may not be able to protect the airway

Kai prioritetų klausime pateikiami ir vertinimas, ir veiksmas, kuris dažniausiai teisingas pirmiausia, kai situacija nėra skubi?

1. ASkambinimas gydytojui, prieš pamatant pacientą
2. BSlaugytojo padėjėjo paprašymas nueiti ir patikrinti pacientą
3. CSusirūpinimo užrašymas medicininiuose dokumentuose
4. DPaciento įvertinimas daugiau informacijos surinkti

Once a nursing assistant has accepted a delegated task, who is responsible for doing it correctly?

1. AThe assistant who accepted the task
2. BOnly the nurse manager
3. CThe patient receiving the care
4. DNobody, once the task has been delegated

A young adult has just started an SSRI antidepressant for major depression. What should the nurse monitor most closely in the first weeks?

1. AWeight loss from too much appetite
2. BHair growth and skin color
3. CRising blood glucose levels
4. DThoughts of suicide or self-harm

A patient with a valid do-not-resuscitate order (DNR; called DNACPR in the UK) stops breathing and has no pulse. What should the nurse do?

1. ACall the cardiac arrest team and let them decide
2. BStart chest compressions but not rescue breaths
3. CFollow the DNR order and do not start CPR
4. DStart CPR and stop when the family arrives

A nurse needs to give report on a patient to a colleague. Which information is the most important to include?

1. ADetails of the nurse’s own break times that shift
2. BThe patient’s favorite television programs and hobbies
3. CPersonal opinions about the patient’s family members and their visiting habits
4. DThe patient’s current condition, recent changes and pending tasks

The charge nurse overhears four instructions from an RN to a nursing assistant. Which one needs to be corrected?

1. A“Walk him to the bathroom and back, and stay with him the whole time.”
2. B“Help him wash and change, and tell me at once if you see any red or broken skin.”
3. C“Check his glucose before lunch and tell me the number straight away.”
4. D“Check his glucose and give the insulin according to the sliding scale.”

A trauma patient has an open leg fracture, absent breath sounds on one side, a trachea shifted to the other side and a falling blood pressure. Which problem is the priority?

1. AThe open fracture of the leg
2. BThe suspected tension pneumothorax
3. CThe pain from the fracture
4. DThe risk of wound infection