Ustalanie priorytetów i delegowanie: karta pracy z odpowiedziami

What does a raised troponin level usually show?

1. ADamage to heart muscle
2. BA urinary tract infection
3. CDamage to the liver
4. DLow blood sugar

Which value is the usual target INR for a patient taking warfarin for atrial fibrillation?

1. A0,5–1,0
2. B6,0–7,0
3. C4,0–5,0
4. D2,0–3,0

Which strategy helps a nurse organize care at the start of a shift?

1. ARank the tasks by urgency after report and plan the time around them
2. BWait until problems come up and then decide what to do
3. CDo the quickest tasks first so the list gets shorter
4. DDo the tasks in strict order of room number, whatever their urgency

A patient taking warfarin has an INR of 5,2 and no signs of bleeding. What should the nurse do?

1. AGive the usual dose and recheck the INR next month
2. BHold the warfarin dose and inform the provider
3. CEncourage the patient to take aspirin for pain
4. DGive a double dose to correct the result

After a hip replacement, a patient has sudden severe hip pain, and the operated leg looks shorter and turned. What should the nurse suspect?

1. ANormal pain after surgery
2. BA urinary tract infection
3. CDislocation of the new hip
4. DA pressure injury on the heel

Which infant with gastroenteritis should the nurse see first?

1. ALethargic, sunken fontanel, no wet diaper for 8 hours
2. BMild diaper rash, otherwise playful
3. CAlert, crying with tears, had a wet diaper an hour ago
4. DTwo loose stools today, feeding well

Objaw u którego pacjenta jest najpilniejszy?

1. APacjenta, na którego wynik liczby płytek się czeka
2. BPacjenta na wlewie heparyny, który ma nowe splątanie i silny ból głowy
3. CPacjenta po operacji kolana z małym siniakiem w miejscu wstrzyknięcia
4. DPacjenta przyjmującego warfarynę z INR 2,5, który ma otrzymać zwykłą dawkę wieczorną

A patient with Guillain-Barré syndrome has weakness that is spreading up from the legs. Which assessment has the highest priority?

1. AMuscle strength in the feet and ankles at the start of each morning
2. BSkin condition over the heels
3. CBreathing strength, such as vital capacity and the ability to cough
4. DThe patient’s mood and coping