Užduočių lapas tema Prioritetų nustatymas ir delegavimas su atsakymais

Kurią užduotį registruotasis slaugytojas (RN) paprastai gali deleguoti nelicencijuotam pagalbiniam personalui (UAP), pavyzdžiui, slaugytojo padėjėjui?

1. APaciento atsako į nuskausminamuosius vertinimą
2. BStabilaus paciento gyvybinių rodiklių matavimą
3. CPaciento mokymą, kaip suleisti naują insuliną
4. DNaujo paciento priėmimo vertinimą

In the Emergency Severity Index (ESI), which patient fits level 2?

1. AA patient who needs an immediate life-saving intervention to survive
2. BA stable patient who needs no resources
3. CA high-risk situation, new confusion, or severe pain or distress
4. DA stable patient who needs one resource

Kuris radinys yra kvėpavimo takų problema?

1. ASilpnas, siūliškas stipininės arterijos pulsas
2. BLiežuvio ir lūpų tinimas su užkimusiu balsu
3. CPilvo skausmas, vertinamas 8/10
4. DĮkvepiant girdimi smulkūs karkalai abiejų plaučių pagrinduose

A patient with heart failure gained 2 kg (about 4 lb) since yesterday and is more breathless when lying down. What should the nurse do first?

1. AEncourage extra fluids to correct the weight change
2. BAssess the lungs, oxygen saturation and swelling, then inform the provider
3. CRecord the weight on the chart and recheck it at the next weekly weigh-in
4. DLay the patient flat to help them breathe more easily

A malnourished patient admitted with alcohol use disorder needs IV glucose. Which vitamin is given before or with it?

1. AVitamin D (calciferol)
2. BVitamin C (ascorbic acid)
3. CVitamin K (phytonadione)
4. DThiamine (vitamin B₁)

A parent of a child with influenza talks with the nurse. Which statement shows a need for further teaching?

1. A“I will keep my child home from school and away from others while unwell.”
2. B“I will call if my child has trouble breathing.”
3. C“I will give my child plenty of fluids.”
4. D“I will give my child aspirin to bring the fever down.”

A visitor on the ward becomes threatening and shows a knife. What is the nurse’s priority?

1. AMove away to safety, keep others away and call security or the police
2. BIgnore the visitor and carry on with patient care
3. CTry to take the knife away from the visitor straight away before anyone is hurt
4. DArgue with the visitor to persuade them to leave

During JumpSTART triage, a child who cannot walk is breathing 50 times a minute. Which category is the child given?

1. ABlack (expectant)
2. BGreen (minor)
3. CYellow (delayed)
4. DRed (immediate)