Užduočių lapas tema Prioritetų nustatymas ir delegavimas su atsakymais

Which pain scale is designed for infants and young children who cannot describe their pain?

1. AThe Braden Scale
2. BThe FLACC scale
3. CThe Morse Fall Scale
4. DThe Glasgow Coma Scale

A medication error has just reached a patient. What is the nurse’s first action?

1. AAssess the patient for any effects of the error
2. BTell the nurse manager at the end of the shift
3. CCorrect the entry on the medication record
4. DComplete an incident report before doing anything else

Maslou hierarchijoje, kuris lygmuo eina iškart po fiziologinių poreikių?

1. ASavigarba ir pripažinimas
2. BSavęs aktualizavimas
3. CSaugumas ir apsauga
4. DMeilė ir priklausymas

Stabilus suaugusysis su normaliais gyvybiniais rodikliais turi rankos įpjovimą, kuriam reikia siūlių, ir daugiau nieko. Koks ESI lygis tinka?

1. A3 lygis
2. B2 lygis
3. C5 lygis
4. D4 lygis

A nurse teaches a patient about storing insulin at home. Which statement shows a need for further teaching?

1. A“I will check the expiry date on the label before I use the vial.”
2. B“I will keep unopened insulin in the fridge.”
3. C“I will keep my spare insulin in the freezer so it lasts longer.”
4. D“I will not leave my insulin in a hot car.”

A patient is in skeletal traction. Which finding needs the nurse to act?

1. AThe patient’s body is in line with the traction
2. BThe weights are resting on the floor
3. CThe weights are hanging freely
4. DThe ropes are in the pulleys

During an infusion of a thrombolytic drug for stroke, the patient develops a severe headache and starts vomiting. What should the nurse do first?

1. AGive a dose of aspirin for the headache
2. BStop the infusion and inform the provider at once
3. CContinue the infusion, because headache is expected
4. DSlow the infusion and give an antiemetic as prescribed

After surgery, a patient who has taken long-term steroids becomes hypotensive and weak, and the blood pressure does not rise with IV fluids. Which problem should the nurse suspect?

1. AAdrenal crisis from steroid withdrawal
2. BFluid overload from too much IV fluid
3. CNormal tiredness after anesthesia
4. DAn allergic reaction to the anesthetic