Ustalanie priorytetów i delegowanie: karta pracy z odpowiedziami

Which three things does START triage check in a non-walking adult?

1. ARespirations, perfusion and mental status
2. BPain score, mobility and age
3. CAirway, blood glucose and pupils
4. DPulse, blood pressure and body temperature

Która ogólna zasada ustalania priorytetów jest prawidłowa?

1. AProblem psychologiczny zawsze ma pierwszeństwo przed fizycznym
2. BProblem ogólnoustrojowy zwykle ma pierwszeństwo przed miejscowym
3. CProblem miejscowy zwykle ma pierwszeństwo przed ogólnoustrojowym
4. DProblem łatwy do rozwiązania zawsze jest pierwszy

After caring for a patient with Clostridioides difficile diarrhea, how should the nurse clean their hands?

1. ANo hand hygiene is needed if gloves were worn
2. BUse alcohol hand rub only
3. CWash with soap and water
4. DWipe hands on a clean towel

On day 3 after hip surgery, a patient suddenly becomes short of breath with sharp chest pain and an SpO₂ of 88%. What should the nurse do first?

1. AMassage the patient’s calves to ease any muscle cramp
2. BEncourage the patient to walk to improve the circulation
3. CGive the next dose of oral analgesia and reassess the patient in an hour
4. DRaise the head of the bed, give oxygen and call for urgent help

Several patients on a gastroenterology unit need care. Which patient should the nurse see first?

1. AUlcerative colitis, asking about diet changes for home
2. BCrohn disease, waiting to be taken down for a scheduled CT scan
3. CLong-standing back pain, asking for the usual analgesic
4. DTwo hours after a colonoscopy: rigid abdomen and severe new pain

A patient has a serum potassium of 2,9 mEq/L. Which finding should the nurse expect?

1. AA rise in urine output and thirst only
2. BTall, peaked T waves and muscle twitching
3. CMuscle weakness and U waves on the ECG
4. DFlushed, warm skin and a slow heart rate

A patient taking an SSRI is also given tramadol. A few hours later the patient is agitated, sweating and has a fever, jerking muscles and brisk reflexes. What is the most likely cause?

1. AOpioid withdrawal
2. BSerotonin syndrome
3. CNeuroleptic malignant syndrome
4. DAn anxiety attack

A patient at 36 weeks of pregnancy has sudden severe abdominal pain, a hard, board-like uterus and dark vaginal bleeding. What should the nurse suspect?

1. APlacental abruption, which is an emergency
2. BA urinary tract infection
3. CNormal labor contractions starting
4. DPlacenta previa, which is usually painless