Užduočių lapas tema Prioritetų nustatymas ir delegavimas su atsakymais

Which patient concern belongs to the esteem level of Maslow’s hierarchy?

1. AMissing friends from home
2. BFear of slipping in the shower
3. CWorry about body image after a mastectomy
4. DThirst after a long period of fasting before a test

Kurią užduotį galima deleguoti nelicencijuotam pagalbiniam personalui?

1. APaciento mokymą apie mažai natrio turinčią dietą
2. BPaciento šlapimo kiekio matavimą ir užrašymą
3. CSpaudimo pragulos vertinimą
4. DSprendimą, ar skambinti gydytojui dėl radinio

Which platelet count is within the normal adult range?

1. A90,000/mm³ (90 × 10⁹/L)
2. B250,000/mm³ (250 × 10⁹/L)
3. C700,000/mm³ (700 × 10⁹/L)
4. D40,000/mm³ (40 × 10⁹/L)

Slaugytojas deleguoja įprastą gyvybinių rodiklių matavimą slaugytojo padėjėjui paciento, kurio kraujospūdis krito per pastarąją valandą. Kuri delegavimo „teisinga" sąlyga neįvykdyta?

1. ATeisingas asmuo
2. BTeisinga užduotis, nes gyvybinių rodiklių niekada negalima deleguoti
3. CTeisingi nurodymai ir bendravimas
4. DTeisingos aplinkybės

A patient has heart failure. Which instruction about daily weights is best to give the nursing assistant?

1. A“Only weigh him if his ankles look more swollen than they did yesterday afternoon.”
2. B“Weigh him at any time today, on whichever scale is free.”
3. C“Weigh him each morning before breakfast, on the same scale, and tell me the result.”
4. D“Weigh him after lunch, fully dressed, with his shoes on.”

On a pediatric unit, which child does the nurse assess first?

1. AA child with croup who has a barking cough but no stridor at rest
2. BA child with a temperature of 38,2 °C after vaccination
3. CA child with asthma who is now quiet with very little air movement
4. DA child in a new arm cast with pink, warm fingers and pain of 5/10

An 85-year-old resident becomes newly confused and is falling, but has no fever. Which cause should the nurse consider first?

1. AAn infection, such as a urinary tract infection, presenting atypically
2. BNormal aging that needs no assessment
3. CA sudden worsening of long-standing dementia that needs no tests
4. DBoredom from not having enough activities

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

1. AWeighing the pads to estimate blood loss
2. BMonitoring the fetal heart rate
3. CA vaginal examination
4. DMeasuring the blood pressure and pulse