Ustalanie priorytetów i delegowanie: karta pracy z odpowiedziami

In mass-casualty triage, what does a yellow tag usually mean?

1. ADelayed: serious injuries, but care can safely wait a little
2. BDeceased or not expected to survive
3. CImmediate: life-threatening injuries that are survivable with quick care
4. DMinor: the walking wounded

W trzystopniowym systemie triażu, który pacjent jest w stanie nagłym (emergent)?

1. AProśba o wystawienie kolejnej recepty
2. BBól w klatce piersiowej z poceniem się i dusznością
3. CWysypka od trzech dni bez gorączki
4. DBól brzucha od dwóch dni z prawidłowymi parametrami życiowymi

Using the rule of nines, what percentage of body surface does one whole arm represent in an adult?

1. A9%
2. B36%
3. C1%
4. D18%

Which postoperative patient should the nurse see first?

1. ADressing soaked with bright red blood and a heart rate rising to 118/min
2. BWants help with washing her hair before her visitors arrive this afternoon
3. CAsking when the urinary catheter will be removed
4. DPain of 4/10 one hour after an oral analgesic

Cztery godziny po operacji tarczycy, który objaw u pacjenta powinna podjąć pielęgniarka w pierwszej kolejności?

1. ABól w miejscu cięcia 4/10
2. BProśba o pomoc w usadzeniu, aby się napić
3. CGłos, który staje się coraz bardziej ochrypły, z nowym szumem oddechowym
4. DNiewielka ilość surowiczego wycieku widoczna na opatrunku szyi

Which patient is at the highest risk of falling?

1. AA 45-year-old with asthma who is alert and independent
2. BA 30-year-old after an appendectomy who walks with steady steps
3. CAn 84-year-old taking a diuretic who has fallen before and gets up at night
4. DA 60-year-old admitted for chest pain that has since been ruled out by tests

A child is admitted with a suspected Wilms tumor (nephroblastoma). Which instruction is most important for all staff?

1. AGive a warm bath with abdominal massage
2. BEncourage the child to play contact sports
3. CDo not palpate the abdomen
4. DMeasure abdominal girth by pressing firmly

A patient in acute mania paces constantly, has lost weight and will not sit down to eat. Which intervention is most helpful?

1. AInsist that the patient sits at the table until the meal is finished
2. BOffer high-calorie finger foods and drinks the patient can take while moving
3. CLeave meals in the room and let the patient eat whenever and whatever they choose
4. DWait until the mania settles before worrying about nutrition