Ustalanie priorytetów i delegowanie: karta pracy z odpowiedziami

Which symptoms suggest high blood glucose (hyperglycemia)?

1. ASweating, shaking and a fast pulse
2. BConfusion that improves quickly with juice
3. CSudden hunger with cold, clammy skin
4. DIncreased thirst and passing more urine

W trzystopniowym systemie triażu pacjent ze skręconą kostką, prawidłowymi parametrami życiowymi i łagodnym bólem jest zwykle zaklasyfikowany jako:

1. ANiepilny
2. BOczekujący (expectant)
3. CNagły (emergent)
4. DPilny

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

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

Pacjent, któremu właśnie powiedziano, że ma nowotwór, płacze, ale także kilkakrotnie wymiotował i nie może utrzymać płynów. Czym najpierw zajmuje się pielęgniarka?

1. AWymiotami i utratą płynów
2. BWsparciem emocjonalnym w związku z rozpoznaniem
3. CKontaktem z kapelanem szpitalnym
4. DEdukacją na temat chemioterapii

An older patient with dementia is restless at night and keeps trying to get out of bed. Which measure should the nurse try first?

1. AApply wrist restraints for the rest of the night
2. BRaise all four bed rails so the patient cannot climb out
3. CCheck for pain, thirst or a full bladder, and offer toileting
4. DGive a sedative from the as-needed list without first assessing the patient

The day after a total thyroidectomy, a patient reports tingling around the mouth and in the fingers. What should the nurse do first?

1. AEncourage deep breaths into a paper bag until it passes
2. BReassure the patient that this is normal after neck surgery
3. CGive the patient’s routine oral iron supplement early
4. DCheck for signs of low calcium and inform the provider

A nurse teaches a patient to inject enoxaparin at home. Which statement shows a need for further teaching?

1. A“I will inject into the fat of my abdomen, away from the navel.”
2. B“I will change the injection site each time.”
3. C“I will rub the area after the injection to help it absorb.”
4. D“I will tell my doctor if I notice unusual bruising or bleeding.”

A patient with untreated hyperthyroidism has surgery and develops a temperature of 40 °C, a heart rate of 160/min and severe agitation. What is most likely happening?

1. AMyxedema coma
2. BOpioid withdrawal
3. CThyroid storm
4. DA normal reaction to pain