Užduočių lapas tema Prioritetų nustatymas ir delegavimas su atsakymais

In a patient with sepsis, what does a raised blood lactate level suggest?

1. AThe kidneys are working harder than usual
2. BThe liver is making too much bile
3. CThe tissues are not getting enough oxygen
4. DThe patient has eaten recently

What is the range of possible scores on the Glasgow Coma Scale?

1. A1 to 20
2. B3 to 15
3. C0 to 15
4. D0 to 10

Ką prioritetų klausimuose reiškia „nestabilus" pacientas?

1. APacientas, nerimaujantis ir verkiantis dėl rytojaus operacijos
2. BPacientas, kurio būklė kinta arba sunkiai prognozuojama
3. CPacientas, sergantis ilgalaike liga, pavyzdžiui, diabetu
4. DPacientas, vartojantis daugiau nei penkis skirtingus vaistus

A drowsy patient who has just returned from surgery starts to vomit. What should the nurse do first?

1. ARaise the legs above the heart
2. BGive a drink of water
3. CGive an oral anti-sickness tablet
4. DTurn the patient onto their side

On day 3 after hip surgery, a patient suddenly becomes short of breath with sharp chest pain and an SpO₂ of 88%. What should the nurse do first?

1. AEncourage the patient to walk to improve the circulation
2. BRaise the head of the bed, give oxygen and call for urgent help
3. CMassage the patient’s calves to ease any muscle cramp
4. DGive the next dose of oral analgesia and reassess the patient in an hour

An arterial blood gas shows pH 7,28, PaCO₂ 40 mmHg (5,3 kPa) and HCO₃⁻ 16 mEq/L (mmol/L). How should the nurse interpret it?

1. AMetabolic acidosis
2. BRespiratory acidosis
3. CMetabolic alkalosis
4. DRespiratory alkalosis

A patient is bleeding internally after a fall. Which finding is usually an early sign of hypovolemic shock?

1. AA slow heart rate with warm, dry, flushed skin and a normal blood pressure throughout
2. BLoss of consciousness with gasping breaths
3. CRestlessness and a rising heart rate while the blood pressure is still normal
4. DA very low blood pressure with fixed, dilated pupils

A patient with anorexia nervosa is admitted. Which finding is the priority?

1. ARefuses to eat in front of other people
2. BHas fine, downy hair on her arms
3. CSays she feels fat although she is very thin
4. DHeart rate 38/min and potassium 2,8 mEq/L