Užduočių lapas tema Prioritetų nustatymas ir delegavimas su atsakymais

Using the rule of nines, what percentage of body surface does one whole arm represent in an adult?

1. A36%
2. B1%
3. C9%
4. D18%

Which type of stroke is the most common?

1. AVenous sinus thrombosis
2. BIschemic stroke
3. CHemorrhagic stroke
4. DSubarachnoid hemorrhage

Who is responsible for developing the nursing plan of care?

1. AThe LPN/LVN alone
2. BThe nursing assistant
3. CThe registered nurse
4. DThe ward clerk

Which finding is an early sign of compartment syndrome in a patient with a lower leg fracture?

1. AA strong pedal pulse with warm, pink toes and pain that settles with analgesia
2. BItching under the cast during the first week after it was applied
3. CPain out of proportion to the injury that worsens when the toes are stretched
4. DMild bruising around the fracture site on the second day

A patient has a tonic-clonic seizure in bed. What should the nurse do first?

1. AProtect the head and turn the patient on their side when possible
2. BHold the arms and legs down firmly to stop the jerking movements quickly
3. CPlace a tongue depressor between the teeth
4. DGive a drink of water to help the patient wake

Stabilus suaugusysis skundžiasi pilvo skausmu, gyvybiniai rodikliai normalūs. Jam reikės kraujo tyrimų ir KT tyrimo. Koks ESI lygis tinka?

1. A1 lygis
2. B4 lygis
3. C5 lygis
4. D3 lygis

A patient takes lithium. Which statement shows a need for further teaching?

1. A“I will drink enough fluid every day.”
2. B“I will keep my daily salt intake about the same as usual.”
3. C“I will take ibuprofen every day for my headaches.”
4. D“I will go for my blood tests as planned.”

A patient in hypovolemic shock is receiving IV fluids. Which finding best shows that the treatment is working?

1. ACooler, paler skin on the arms and legs
2. BNew crackles at both lung bases
3. CUrine output at least 0,5 mL/kg/h and clearer thinking
4. DA heart rate that keeps rising after each bag of fluid