Užduočių lapas tema Prioritetų nustatymas ir delegavimas su atsakymais

Which patient usually fits ESI level 5?

1. AAn adult in cardiac arrest
2. BA stable adult who only needs a repeat prescription
3. CAn adult with chest pain suggesting a heart attack
4. DA stable adult who needs blood tests and an X-ray of the chest

Which of these is one of the standard “rights” of medication administration?

1. ARight brand
2. BRight patient
3. CRight colleague
4. DRight ward

Which hemoglobin result is low for an adult woman?

1. A13,2 g/dL (132 g/L)
2. B12,6 g/dL (126 g/L)
3. C14,0 g/dL (140 g/L)
4. D7,8 g/dL (78 g/L)

Which patient is at the highest risk of falling?

1. AA 60-year-old admitted for chest pain that has since been ruled out by tests
2. BA 30-year-old after an appendectomy who walks with steady steps
3. CAn 84-year-old taking a diuretic who has fallen before and gets up at night
4. DA 45-year-old with asthma who is alert and independent

Which patient is most suitable for the nurse to assign to a nurse who has just finished orientation?

1. AA patient with a new tracheostomy who needs frequent suctioning
2. BA patient with stable cellulitis on scheduled IV antibiotics
3. CA patient with sepsis whose blood pressure is falling
4. DA patient on a continuous heparin infusion with rising aPTT values

A nurse has called the rapid response team for a deteriorating patient. What should the nurse do while waiting for the team?

1. AStay with the patient, give oxygen as prescribed and have recent vital signs ready
2. BGo to the station to finish documentation for other patients
3. CLeave the patient for a few minutes to find the relatives and explain what is happening
4. DGive a dose of every as-needed medication on the chart

A toddler with tetralogy of Fallot becomes very blue and breathless while crying. What should the nurse do first?

1. AGive a large drink of water to calm the child
2. BLay the child flat on their back
3. CPlace the child in a knee-to-chest position
4. DEncourage the child to keep crying to open the lungs

A patient arrives one hour after the start of stroke symptoms. Which step must happen before a thrombolytic drug can be given?

1. AA brain scan to rule out bleeding
2. BA full lipid profile to check cholesterol
3. CAn echocardiogram to look for clots
4. DA swallow test with a cup of water