Užduočių lapas tema Prioritetų nustatymas ir delegavimas su atsakymais

Which symptoms are classic signs of digoxin toxicity?

1. AHair loss and weight gain
2. BHigh blood sugar and increased thirst
3. CA rash, high fever and swollen lymph nodes in the neck
4. DNausea, poor appetite and yellow-green visual halos

After caring for a patient with Clostridioides difficile diarrhea, how should the nurse clean their hands?

1. AUse alcohol hand rub only
2. BWipe hands on a clean towel
3. CNo hand hygiene is needed if gloves were worn
4. DWash with soap and water

Which fasting blood glucose value is normal for an adult without diabetes?

1. A210 mg/dL (11,7 mmol/L)
2. B145 mg/dL (8,0 mmol/L)
3. C85 mg/dL (4,7 mmol/L)
4. D55 mg/dL (3,1 mmol/L)

A patient with type 1 diabetes has vomited since morning and cannot eat. Which action is most important?

1. AStop all insulin until the patient is able to eat normally again
2. BEncourage a large meal to settle the stomach
3. CCheck the blood glucose and ketones and contact the provider
4. DWait until tomorrow to see if the vomiting settles

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

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

A nurse sees a nursing assistant leave a confused patient’s bed in the highest position after care. What should the nurse do?

1. AWrite it in the assistant’s yearly review only
2. BAsk the family to lower the bed when they next visit
3. CLeave it because the patient is asleep
4. DLower the bed now and remind the assistant why it matters

Two hours after a femoral cardiac catheterization, the nurse sees blood spreading from the puncture site. What is the first action?

1. ARemove the dressing and leave the site open to the air
2. BRaise the head of the bed so the patient can sit up
3. CApply firm, direct pressure just above the puncture site
4. DAsk the patient to bend the leg at the hip to stop the bleeding

Į skubios pagalbos skyrių kartu atvyksta keturi pacientai. Kurį reikia apžiūrėti pirmiausia?

1. ASuaugusįjį su migrena ir 150/90 mmHg kraujospūdžiu
2. B2 metų vaiką, kuris seilėjasi, sėdi palinkęs į priekį ir turi stridorą
3. CPaauglį su rankos įpjovimu, kurio kraujavimas sustabdytas
4. DSuaugusįjį su deformuota kulkšnimi ir normaliu pėdos pulsu