Ustalanie priorytetów i delegowanie: karta pracy z odpowiedziami

Which finding is expected in a patient with long-standing COPD?

1. ASudden sharp chest pain
2. BA barrel-shaped chest
3. CAn SpO₂ of 78%
4. DNew confusion

Which serum sodium value is within the normal adult range?

1. A128 mEq/L (128 mmol/L)
2. B140 mEq/L (140 mmol/L)
3. C152 mEq/L (152 mmol/L)
4. D120 mEq/L (120 mmol/L)

A medication error has just reached a patient. What is the nurse’s first action?

1. ATell the nurse manager at the end of the shift
2. BAssess the patient for any effects of the error
3. CCorrect the entry on the medication record
4. DComplete an incident report before doing anything else

Podczas triażu START na miejscu masowego zdarzenia poszkodowany potrafi dojść do wyznaczonego miejsca, gdy się go o to poprosi. Do jakiej kategorii zostaje zakwalifikowany?

1. ACzarnej (oczekujący)
2. BZielonej (drobne obrażenia)
3. CŻółtej (odroczona)
4. DCzerwonej (natychmiastowa pomoc)

A nurse teaches foot care to a patient with diabetes. Which statement shows a need for further teaching?

1. A“I will soak my feet in hot water every evening.”
2. B“I will dry well between my toes after washing.”
3. C“I will check the soles of my feet every day with a mirror.”
4. D“I will wear shoes that fit well, even at home.”

A conscious patient with hypoglycemia drank juice 15 minutes ago. The glucose is now 62 mg/dL (3,4 mmol/L). What should the nurse do next?

1. AGive another serving of fast-acting carbohydrate and recheck in 15 minutes
2. BGive the next scheduled dose of rapid-acting insulin with the meal
3. CWait another hour, because juice can take a long time to work
4. DRecord the result and recheck the glucose at the usual time before the evening meal

A patient with a severe asthma attack had a PaCO₂ of 32 mmHg (4,3 kPa) on arrival. An hour later it is 46 mmHg (6,1 kPa), and the patient seems tired. What does this suggest?

1. ARespiratory muscle fatigue with possible impending respiratory failure
2. BThe patient is hyperventilating even more than before and needs calming
3. CA laboratory error that should be ignored
4. DThe asthma is improving, because the PaCO₂ is now near normal

After handover on a medical unit, which patient should the nurse see first?

1. ANew atrial fibrillation, heart rate 150/min, blood pressure 86/50 mmHg, dizzy
2. BDay 2 after a hernia repair, pain 6/10, oral analgesic due in 20 minutes, wants it now
3. CPneumonia on 2 L/min oxygen, SpO₂ 93%, talking in full sentences
4. DDeep vein thrombosis on a heparin infusion, aPTT in the target range