Užduočių lapas tema Prioritetų nustatymas ir delegavimas su atsakymais

Which drug reverses the anticoagulant effect of heparin?

1. AProtamine sulfate
2. BAtropine
3. CNaloxone
4. DVitamin K

Which value is the usual target INR for a patient taking warfarin for atrial fibrillation?

1. A4,0–5,0
2. B2,0–3,0
3. C0,5–1,0
4. D6,0–7,0

Kai prioritetų klausime klausiama, ką daryti „pirmiausia", ko klausiama?

1. AVeiksmo, kurį slaugytojai atlieka dažniausiai įprastos pamainos metu
2. BVienintelio teisingo varianto; kiti klaidingi
3. CVeiksmo, kuriam atlikti reikia daugiausia laiko
4. DŽingsnio, kuris eina prieš kitus, net jei visi teisingi

A patient has a serum potassium of 6,8 mEq/L. Which action comes first?

1. AEncourage foods high in potassium
2. BPlace the patient on a cardiac monitor
3. CRecheck the level next week
4. DGive the patient’s scheduled potassium supplement

Slaugytojo padėjėjas praneša apie keturis pacientus. Kuriam pranešimui slaugytojas turi skirti dėmesio pirmiausia?

1. APacientas prašo papildomos pagalvės
2. BPacientas per pastarąsias 6 valandas išskyrė 300 mL šlapimo
3. CPacientas praėjus dienai po pilvo operacijos naujai neramus ir jo širdies susitraukimų dažnis 124/min
4. DPacientas, sergantis LOPL, kurio SpO₂ ramybėje 90 %, atitinkantis jo įprastas reikšmes

A patient on a medical unit tells the nurse he has a plan to end his life and has saved tablets at home. What is the priority action?

1. AEnsure constant observation and remove anything he could use to harm himself
2. BReassure him that things usually look better in the morning after some sleep
3. CAsk him to promise he will not harm himself
4. DArrange a psychiatry appointment for next week

A patient opens their eyes only to pain, uses inappropriate words and withdraws from pain. What is the Glasgow Coma Scale score?

1. A7
2. B13
3. C11
4. D9

A patient with known abdominal aortic aneurysm suddenly has severe back pain, a pulsing mass in the abdomen and a falling blood pressure. What should the nurse do?

1. AEncourage the patient to walk to ease the back pain
2. BCall for emergency help at once and prepare for urgent surgery
3. CGive an oral analgesic and reassess the patient in about one hour
4. DPalpate the mass firmly to check its size and spread