Užduočių lapas tema Prioritetų nustatymas ir delegavimas su atsakymais

Which phrase in a question usually signals a priority question?

1. A“Which bone is found in the forearm?”
2. B“Which term means inflammation of the liver?”
3. C“Which statement describes this drug’s class?”
4. D“Which action should the nurse take first?”

Which serum potassium result should the nurse report to the provider promptly?

1. A3,8 mEq/L (3,8 mmol/L)
2. B6,4 mEq/L (6,4 mmol/L)
3. C4,9 mEq/L (4,9 mmol/L)
4. D4,2 mEq/L (4,2 mmol/L)

Why may a full-thickness burn feel painless at its center?

1. AThe patient has been given too much fluid
2. BThe burn has already fully healed
3. CThe nerve endings in the skin have been destroyed
4. DThe burn only affects the thin surface layer of the skin

A nurse teaches a patient who uses crutches. Which statement shows a need for further teaching?

1. A“I will keep the crutch tips in good condition.”
2. B“I will take my weight on my hands, not on my armpits.”
3. C“I will remove loose rugs from the floor at home.”
4. D“I will lean on the crutch pads under my arms to rest.”

Which newborn finding needs prompt reporting?

1. AJaundice that appears within the first 24 hours
2. BMild jaundice that first appears on the third day
3. CBluish hands and feet in the first hours
4. DMilia (small white spots) on the nose

A patient taking lisinopril develops swelling of the lips and tongue. What should the nurse do first?

1. AApply a cold pack and recheck in an hour
2. BGive the next dose of lisinopril with water
3. CAssess the airway and call for urgent help
4. DTell the patient this is a common, harmless effect

Pacientui per periferinę veną leidžiama kalio chlorido infuzija, jis skundžiasi deginimu vietoje, kuri paraudusi. Ką slaugytojas daro pirmiausia?

1. AUždeda šiltą kompresą ir tęsia infuziją
2. BPadidina infuzijos greitį, kad dozė greičiau pasibaigtų
3. CPasako pacientui, kad deginimas tikėtinas, ir tęsia
4. DNutraukia infuziją ir įvertina venos kateterio vietą

During JumpSTART triage, a child who cannot walk is breathing 50 times a minute. Which category is the child given?

1. AYellow (delayed)
2. BBlack (expectant)
3. CRed (immediate)
4. DGreen (minor)