Užduočių lapas tema Prioritetų nustatymas ir delegavimas su atsakymais

An adult without lung disease is breathing room air. Which SpO₂ reading needs action?

1. A89%
2. B97%
3. C99%
4. D96%

Which strategy helps a nurse organize care at the start of a shift?

1. ARank the tasks by urgency after report and plan the time around them
2. BWait until problems come up and then decide what to do
3. CDo the tasks in strict order of room number, whatever their urgency
4. DDo the quickest tasks first so the list gets shorter

What is the usual adult reference range for serum potassium?

1. AAbout 135–145 mEq/L
2. BAbout 6,0–8,0 mEq/L
3. CAbout 3,5–5,0 mEq/L
4. DAbout 1,5–2,5 mEq/L

Before accessing a central venous catheter, what should the nurse do to prevent infection?

1. AScrub the hub with an antiseptic such as chlorhexidine and let it dry
2. BRinse the hub with tap water and dry it
3. CBlow on the hub to remove any dust before connecting the syringe or line
4. DTouch the hub to check it is clean

Before giving a scheduled dose of metoprolol, which assessment is most important?

1. ATemperature and the latest pain score
2. BApical pulse and blood pressure
3. CBowel sounds and urine color
4. DBlood glucose and weight

A nurse teaches a patient to use an incentive spirometer. Which statement shows a need for further teaching?

1. A“I will breathe in slowly and deeply through the mouthpiece.”
2. B“I will use it several times every hour while awake.”
3. C“I will try to hold my breath for a few seconds at the top.”
4. D“I will blow into it as hard and fast as I can.”

A patient at 34 weeks of pregnancy has painless, bright red vaginal bleeding. Which action should the nurse avoid?

1. AWeighing the pads to estimate blood loss
2. BMeasuring the blood pressure and pulse
3. CA vaginal examination
4. DMonitoring the fetal heart rate

Po pamainos perdavimo, kurį pacientą slaugytojas turėtų įvertinti pirmiausia?

1. ALOPL su 2 L/min deguonimi: SpO₂ 90 %, kvėpavimo dažnis 22/min, įprastame pradiniame lygyje
2. B2 diena po tulžies pūslės operacijos: skausmas 6/10, kita nuskausminamojo dozė po 30 minučių
3. C2 tipo diabetas: gliukozė 210 mg/dL (11,7 mmol/L) prieš pietus, simptomų nėra
4. DPraėjus 1 valandai po šlaunies arterijos širdies kateterizacijos: naujas nugaros skausmas, pulsas 118/min, KS 92/58 mmHg