Ustalanie priorytetów i delegowanie: karta pracy z odpowiedziami

Które zadanie pielęgniarka dyplomowana (RN) powinna zachować dla siebie, a nie delegować personelowi pomocniczemu bez uprawnień?

1. APomoc stabilnemu pacjentowi w dojściu do łazienki i z powrotem
2. BPomiar i zapisywanie przyjętych i wydalonych płynów
3. CWstępną ocenę nowo przyjętego pacjenta
4. DKąpiel stabilnego pacjenta

Który rodzaj problemu zasadniczo rozwiązuje się przed pozostałymi?

1. AProblem wymieniony w starszym planie opieki
2. BPotrzeba edukacyjna związana z wypisem
3. CProblem potencjalny, który może pojawić się później
4. DRzeczywisty problem, który pacjent ma teraz

Which resting heart rate in an adult is bradycardia?

1. A72/min
2. B46/min
3. C64/min
4. D88/min

An Rh-negative mother has just given birth to an Rh-positive baby. What does the nurse expect to give the mother?

1. AA dose of the hepatitis B vaccine instead
2. BNo treatment is needed
3. CVitamin K to the mother
4. DRh immunoglobulin within 72 hours

A patient with asthma has two inhalers: a corticosteroid and salbutamol (albuterol). Which statement shows a need for further teaching?

1. A“I will rinse my mouth after using the steroid inhaler.”
2. B“I will carry my salbutamol inhaler with me.”
3. C“I will use my steroid inhaler every day, even when I feel well.”
4. D“I will use my steroid inhaler when I have a sudden attack.”

A patient’s peripheral IV site is swollen, pale and cool, and the infusion has slowed. What should the nurse do first?

1. AApply a tight bandage over the site to reduce swelling
2. BStop the infusion and remove the cannula
3. CIncrease the infusion rate to overcome the resistance
4. DFlush the cannula hard to clear the blockage

Four patients arrive at the emergency department at the same time. Who should be seen first?

1. AA young adult with a swollen, painful ankle after a fall on the stairs
2. BAn adult with kidney stone pain of 9/10 and stable vital signs
3. CA child with a temperature of 39 °C who is alert and drinking
4. DAn older adult with weakness on one side that began 40 minutes ago

A patient has a chest drain for a pneumothorax. The nurse sees constant bubbling in the water-seal chamber. What does this most likely mean?

1. AThe lung has fully re-expanded, so the drain is ready to come out
2. BThe suction is set too low and needs to be turned up
3. CThe drain is working normally and no action is needed
4. DAn air leak in the patient or the system that needs checking