Ustalanie priorytetów i delegowanie: karta pracy z odpowiedziami

Which fasting blood glucose value is normal for an adult without diabetes?

1. A85 mg/dL (4,7 mmol/L)
2. B210 mg/dL (11,7 mmol/L)
3. C145 mg/dL (8,0 mmol/L)
4. D55 mg/dL (3,1 mmol/L)

What is the CIWA scale used to assess?

1. AThe depth of a burn wound
2. BThe severity of a newborn’s jaundice
3. CThe severity of alcohol withdrawal
4. DThe risk of a pressure injury

Which protective equipment is needed for droplet precautions?

1. AA fitted N95 respirator at all times in the room
2. BA surgical mask when close to the patient
3. CA lead apron and goggles
4. DGloves only, with no mask

A patient has a blood pressure of 210/120 mmHg. Which finding would make this a hypertensive emergency?

1. AMild anxiety about the high reading on the monitor
2. BA history of high blood pressure for ten years
3. CForgetting to take the blood pressure tablet this morning
4. DNew chest pain or confusion suggesting organ damage

A woman calls to say her husband suddenly has a drooping face and slurred speech. What should the nurse advise?

1. ALet him lie down and see if it improves
2. BBook an appointment with his doctor next week
3. CDrive him to the hospital yourself after he has eaten dinner
4. DCall emergency services now and note the time it started

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. ARaise the head of the bed, give oxygen and call for urgent help
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. DMassage the patient’s calves to ease any muscle cramp

Którego pacjenta najlepiej przenieść z oddziału intensywnej terapii, aby zrobić miejsce dla nowo przyjmowanego?

1. AEkstubowany 2 dni temu, stabilny na tlenie donosowym 2 L/min, bez wlewów leków wazoaktywnych
2. BPrzyjęty w nocy z krwawieniem z przewodu pokarmowego i nadal otrzymujący krew
3. CNa wlewie noradrenaliny, której dawkę zwiększono dziś rano
4. DZaintubowany godzinę temu z powodu niewydolności oddechowej, nadal sedowany

An older adult with type 2 diabetes is confused and very dehydrated. The glucose is 900 mg/dL (50 mmol/L), and blood and urine show no significant ketones. What is the most likely problem?

1. AStress-induced mild hyperglycemia
2. BHyperosmolar hyperglycemic state
3. CDiabetic ketoacidosis
4. DHypoglycemia with rebound