Ustalanie priorytetów i delegowanie: karta pracy z odpowiedziami

A patient has a Glasgow Coma Scale score of 8. What is the main concern?

1. AThe patient may not be able to protect the airway
2. BThe patient only has a mild headache
3. CThe patient can safely eat and drink without help
4. DThe patient is fully alert and oriented

In the ABC framework, which finding is mainly a breathing problem?

1. AHeart rate 150/min with a low blood pressure and cold skin
2. BA blood glucose of 60 mg/dL (3,3 mmol/L)
3. CStridor caused by a swollen throat
4. DShallow breaths with an SpO₂ of 85% on room air

In stroke care, what does the “last known well” time mean?

1. AThe last time the patient was seen without stroke symptoms
2. BThe time the first symptom was noticed by a stranger
3. CThe time the patient arrived at the hospital and was triaged
4. DThe time of the patient’s last meal

Stabilny dorosły ma ból brzucha i prawidłowe parametry życiowe. Będzie potrzebował badań krwi i tomografii komputerowej. Który poziom ESI pasuje?

1. APoziom 3
2. BPoziom 5
3. CPoziom 4
4. DPoziom 1

Before giving a medication to a child, which check is especially important?

1. AThat the child likes the taste of the drug
2. BThat the parent agrees with the time it is given
3. CThat the dose is correct for the child’s weight
4. DThat the medicine cup is the child’s favorite color

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

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

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

1. AGreen (minor)
2. BBlack (expectant)
3. CYellow (delayed)
4. DRed (immediate)

Asystent pielęgniarski zmierzył parametry życiowe 15 minut po pierwszej dawce morfiny u pacjenta. Zgłasza częstość oddechów 10/min i mówi, że pacjent trudno się budzi. Co powinna zrobić pielęgniarka?

1. AUdokumentować ustalenia i powiedzieć lekarzowi na następnym zaplanowanym obchodzie
2. BPoprosić asystenta o ponowny pomiar częstości oddechów za 15 minut i zgłoszenie wyniku
3. CPójść od razu, obudzić pacjenta, wspomagać oddychanie i przygotować nalokson zgodnie ze zleceniem
4. DZadzwonić do lekarza po zlecenia, zanim pójdzie zobaczyć pacjenta