Užduočių lapas tema Prioritetų nustatymas ir delegavimas su atsakymais

In stroke care, what does the “last known well” time mean?

1. AThe last time the patient was seen without stroke symptoms
2. BThe time the patient arrived at the hospital and was triaged
3. CThe time of the patient’s last meal
4. DThe time the first symptom was noticed by a stranger

In SBAR communication, what does the letter R stand for?

1. AResult
2. BResponse
3. CReassessment
4. DRecommendation

In a patient with sepsis, what does a raised blood lactate level suggest?

1. AThe liver is making too much bile
2. BThe kidneys are working harder than usual
3. CThe tissues are not getting enough oxygen
4. DThe patient has eaten recently

Two hours after birth, the nurse finds the uterus firm but above the umbilicus and pushed to the right. What should the nurse do first?

1. AAsk the patient to lie still for another hour
2. BMassage the uterus firmly for ten minutes
3. CHelp the patient empty her bladder
4. DGive a dose of oxytocin straight away

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

1. ARising blood glucose levels
2. BThoughts of suicide or self-harm
3. CHair growth and skin color
4. DWeight loss from too much appetite

Which patient should the RN see first after receiving a report from the night nurse?

1. ADay 4 after bowel surgery, waiting for discharge teaching
2. BDay 3 after bowel surgery, wants a shower and hair wash before breakfast
3. CDay 2 after bowel surgery, asking to start a soft diet
4. DDay 1 after bowel surgery, new chest pain and heart rate 110/min

Kuris paskyrimas LPN/LVN tinkamiausias?

1. APacientas su stabiliu LOPL, kuriam reikia paskirtų purškiamų bronchus plečiančių vaistų ir geriamųjų vaistų
2. BPacientas su nauju prieširdžių virpėjimu, kuriam ką tik pradėta diltiazemo infuzija į veną
3. CPacientas, kuriam reikia išrašymo mokymo dėl naujai paskirto varfarino
4. DPacientas, perkeltas iš intensyviosios terapijos prieš vieną valandą

A competent adult patient refuses a blood transfusion for religious reasons. What should the nurse do?

1. AAsk the family to persuade the patient until they agree
2. BRespect the refusal, check the patient understands the risks and inform the provider
3. CGive the transfusion while the patient is asleep, because saving their life comes first
4. DTell the patient that refusing treatment is not allowed in hospital