Užduočių lapas tema Prioritetų nustatymas ir delegavimas su atsakymais

Which blood pressure in an adult suggests hypotension?

1. A82/48 mmHg
2. B110/70 mmHg
3. C126/82 mmHg
4. D118/76 mmHg

Which maneuver opens the airway of an unresponsive adult with no suspected spinal injury?

1. AHead-tilt, chin-lift
2. BTurning the head sharply to one side
3. CRaising the legs above the heart
4. DJaw thrust without head tilt

Which drug reverses the anticoagulant effect of heparin?

1. AVitamin K
2. BAtropine
3. CNaloxone
4. DProtamine sulfate

A patient receives hemodialysis this morning. Which type of medication is often held before dialysis, as prescribed?

1. AAntihypertensive drugs
2. BTopical skin creams
3. CEye drops for glaucoma
4. DInhaled bronchodilators

A patient is receiving opioids after surgery. Which finding usually comes before opioid-induced respiratory depression?

1. AIncreasing sleepiness that is hard to rouse
2. BIncreased appetite and thirst
3. CA rise in blood pressure with flushed cheeks
4. DA sudden rise in pain scores

Which patient on an addiction unit should the nurse see first?

1. ALast drink two days ago; now shaking, sweating, heart rate 124/min and seeing insects
2. BLast drink this morning; asking when lunch will arrive
3. CLast drink one week ago; asking about support groups
4. DIn recovery for a year; came to the clinic today for a routine check and a repeat prescription

During JumpSTART triage, a child who cannot walk is breathing 50 times a minute. Which category is the child given?

1. AYellow (delayed)
2. BRed (immediate)
3. CBlack (expectant)
4. DGreen (minor)

A patient at 34 weeks of pregnancy has painless, bright red vaginal bleeding. Which action should the nurse avoid?

1. AA vaginal examination
2. BMeasuring the blood pressure and pulse
3. CWeighing the pads to estimate blood loss
4. DMonitoring the fetal heart rate