Užduočių lapas tema Prioritetų nustatymas ir delegavimas su atsakymais

In mmHg, what is the normal range for arterial PaCO₂?

1. A22–26 mmHg
2. B7,35–7,45 mmHg
3. C80–100 mmHg
4. D35–45 mmHg

Who is responsible for developing the nursing plan of care?

1. AThe LPN/LVN alone
2. BThe registered nurse
3. CThe ward clerk
4. DThe nursing assistant

Using the RACE fire response, what does the nurse do first when finding a fire in a patient’s room?

1. APull the fire alarm
2. BRescue patients in immediate danger
3. CUse an extinguisher on the fire
4. DClose doors to contain the fire and smoke

A patient at 35 weeks of pregnancy with high blood pressure calls the clinic. Which symptom needs urgent assessment?

1. ANeeding to pass urine more often
2. BMild ankle swelling at the end of the day
3. CBackache after a long walk
4. DA severe headache with blurred vision

A nurse cannot read part of a medication order. What should the nurse do?

1. ASkip the drug and not tell anyone until the next ward round
2. BAsk another nurse to guess what the order most likely says, then give it
3. CGive the usual dose of the drug the nurse thinks was meant
4. DContact the prescriber to clarify the order before giving the drug

On a pediatric unit, which child does the nurse assess first?

1. AA child with croup who has a barking cough but no stridor at rest
2. BA child with asthma who is now quiet with very little air movement
3. CA child in a new arm cast with pink, warm fingers and pain of 5/10
4. DA child with a temperature of 38,2 °C after vaccination

Po pamainos perdavimo, kurį pacientą slaugytojas turėtų įvertinti pirmiausia?

1. A2 tipo diabetas: gliukozė 210 mg/dL (11,7 mmol/L) prieš pietus, simptomų nėra
2. BPraėjus 1 valandai po šlaunies arterijos širdies kateterizacijos: naujas nugaros skausmas, pulsas 118/min, KS 92/58 mmHg
3. CLOPL su 2 L/min deguonimi: SpO₂ 90 %, kvėpavimo dažnis 22/min, įprastame pradiniame lygyje
4. D2 diena po tulžies pūslės operacijos: skausmas 6/10, kita nuskausminamojo dozė po 30 minučių

A patient has a new spinal cord injury at C4. Which assessment is the priority?

1. AAbility to feed themselves
2. BBowel sounds in all four abdominal quadrants
3. CSkin over the sacrum and heels
4. DBreathing effort and ability to cough