Užduočių lapas tema Prioritetų nustatymas ir delegavimas su atsakymais

Daugelyje įstaigų, kas atlieka naujai atvykusių pacientų triažą skubios pagalbos skyriuje?

1. ALPN/LVN be RN dalyvavimo
2. BSlaugytojo padėjėjas
3. CSkyriaus administratorius
4. DRegistruotasis slaugytojas

Which capillary refill time is prolonged in an adult?

1. A4 seconds
2. B2 seconds
3. CLess than 1 second
4. D1 second

Apskritai, kuri problemų rūšis sprendžiama pirmiau už kitas?

1. ARizikos problema, galinti atsirasti vėliau
2. BMokymosi poreikis išrašymui
3. CProblema, įrašyta senesniame priežiūros plane
4. DTikra problema, kurią pacientas turi dabar

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

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

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

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

Using the Emergency Severity Index, which level fits a 70-year-old with chest pressure that suggests a heart attack, but normal vital signs?

1. ALevel 2
2. BLevel 4
3. CLevel 5
4. DLevel 1

A patient with raised intracranial pressure is being nursed on the ward. Which position is best?

1. AHead down with the legs raised above the heart
2. BSitting forward with the chin on the chest
3. CFlat on the back with the head turned well over to one side
4. DHead of the bed at about 30 degrees with the neck straight

During an infusion of a thrombolytic drug for stroke, the patient develops a severe headache and starts vomiting. What should the nurse do first?

1. AContinue the infusion, because headache is expected
2. BSlow the infusion and give an antiemetic as prescribed
3. CStop the infusion and inform the provider at once
4. DGive a dose of aspirin for the headache