Užduočių lapas tema Prioritetų nustatymas ir delegavimas su atsakymais

Which finding is expected in a patient with long-standing COPD?

1. ASudden sharp chest pain
2. BA barrel-shaped chest
3. CNew confusion
4. DAn SpO₂ of 78%

Kuris paciento poreikis priklauso Maslou hierarchijos saugumo lygmeniui?

1. AApsauga nuo kritimų
2. BKitų pripažinimas
3. CDeguonis
4. DDraugystė

Which type of stroke is the most common?

1. AVenous sinus thrombosis
2. BSubarachnoid hemorrhage
3. CIschemic stroke
4. DHemorrhagic stroke

A patient with type 1 diabetes has vomited since morning and cannot eat. Which action is most important?

1. AStop all insulin until the patient is able to eat normally again
2. BWait until tomorrow to see if the vomiting settles
3. CEncourage a large meal to settle the stomach
4. DCheck the blood glucose and ketones and contact the provider

An older adult asks for something to help them sleep. Which drug is most likely to cause confusion and falls in this age group?

1. AAcetaminophen (paracetamol)
2. BA warm milky drink
3. CDiphenhydramine
4. DMelatonin

Which action helps prevent a catheter-associated urinary tract infection?

1. AKeeping the drainage bag below the level of the bladder
2. BDisconnecting the bag every shift to empty it
3. CLeaving the catheter in place longer than needed
4. DRaising the drainage bag above the bladder when walking

A patient’s serum potassium is 6,1 mEq/L. Which of the patient’s medications should the nurse question first?

1. AOmeprazole
2. BHydrochlorothiazide
3. CSpironolactone
4. DFurosemide

After surgery, a patient who has taken long-term steroids becomes hypotensive and weak, and the blood pressure does not rise with IV fluids. Which problem should the nurse suspect?

1. AAn allergic reaction to the anesthetic
2. BNormal tiredness after anesthesia
3. CAdrenal crisis from steroid withdrawal
4. DFluid overload from too much IV fluid