Ustalanie priorytetów i delegowanie: karta pracy z odpowiedziami

Która potrzeba pacjenta należy do poziomu bezpieczeństwa w hierarchii Maslowa?

1. APrzyjaźń
2. BOchrona przed upadkami
3. CUznanie ze strony innych
4. DTlen

Which serum lithium level suggests toxicity?

1. A0,7 mEq/L
2. B0,8 mEq/L
3. C1,0 mEq/L
4. D2,2 mEq/L

Which maneuver opens the airway of an unresponsive adult with no suspected spinal injury?

1. AHead-tilt, chin-lift
2. BRaising the legs above the heart
3. CJaw thrust without head tilt
4. DTurning the head sharply to one side

Pielęgniarka otrzymuje cztery wezwania jednocześnie. Do którego pacjenta idzie jako pierwszego?

1. APacjenta, który prosi o lek przeciwbólowy przy bólu 4/10
2. BPacjenta, który pyta, o której przyjdzie lekarz
3. CPacjenta, który mówi: „Nie mogę złapać tchu.”
4. DPacjenta, którego pompa infuzyjna alarmuje z powodu opróżnionego worka z płynem podtrzymującym

A drowsy patient has an arterial blood gas with pH 7,30, PaCO₂ 58 mmHg (7,7 kPa) and HCO₃⁻ 25 mEq/L (mmol/L). Which problem is the priority?

1. AToo much bicarbonate from antacids
2. BLoss of bicarbonate from the bowel through severe diarrhea
3. CHyperventilation caused by anxiety
4. DPoor ventilation causing carbon dioxide to build up

A patient has taken prednisone (prednisolone in many countries) for several months. Which statement shows a need for further teaching?

1. A“I will take the tablets with food.”
2. B“I will tell my dentist and other doctors that I take a steroid.”
3. C“I will stop the tablets as soon as I feel better.”
4. D“I will report signs of infection early.”

A patient takes lithium. Which statement shows a need for further teaching?

1. A“I will drink enough fluid every day.”
2. B“I will keep my daily salt intake about the same as usual.”
3. C“I will take ibuprofen every day for my headaches.”
4. D“I will go for my blood tests as planned.”

Several patients on a unit develop diarrhea within two days. What should the nurse do first?

1. AGive all patients antidiarrheal drugs without assessment
2. BPlace affected patients on contact precautions and inform infection control
3. CMove the affected patients into shared rooms with other patients to free up beds
4. DWait to see if more patients become unwell