Ustalanie priorytetów i delegowanie: karta pracy z odpowiedziami

Using the RACE fire response, what does the nurse do first when finding a fire in a patient’s room?

1. AClose doors to contain the fire and smoke
2. BRescue patients in immediate danger
3. CUse an extinguisher on the fire
4. DPull the fire alarm

When is a patient most ready to learn about self-care?

1. ADuring a period of acute breathlessness
2. BStraight after hearing bad news about a serious new diagnosis
3. CWhen pain is controlled and basic physical needs are met
4. DWhile in severe pain, so the lesson feels important

When is the Apgar score usually assessed?

1. AOnly at 24 hours after birth
2. BAt the first postnatal clinic visit
3. CAt 1 and 5 minutes after birth
4. DBefore the baby is born

A pregnant nurse is on the unit. Which patient should the charge nurse avoid assigning to her?

1. AA patient with a fractured wrist
2. BA patient with type 2 diabetes who needs insulin teaching before discharge
3. CA patient with a sealed radioactive implant for cervical cancer
4. DA patient after a hip replacement

A patient with heart failure gained 2 kg (about 4 lb) since yesterday and is more breathless when lying down. What should the nurse do first?

1. ALay the patient flat to help them breathe more easily
2. BRecord the weight on the chart and recheck it at the next weekly weigh-in
3. CAssess the lungs, oxygen saturation and swelling, then inform the provider
4. DEncourage extra fluids to correct the weight change

Które zadanie RN najodpowiedniej deleguje LPN/LVN?

1. APrzeprowadzenie oceny przy przyjęciu nowego pacjenta
2. BRozpoczęcie przetaczania pierwszej jednostki koncentratu krwinek czerwonych
3. CPrzeprowadzenie edukacji przed wypisem pacjenta, który właśnie rozpoczął insulinoterapię
4. DZałożenie cewnika do pęcherza moczowego stabilnemu pacjentowi

An older patient has bruises of different ages and seems frightened when a relative visits. What is the nurse’s priority?

1. ATell the patient she must leave home and go to live somewhere else
2. BAsk the relative directly in front of the patient whether they hit her
3. CIgnore it, because older people bruise easily
4. DEnsure the patient’s safety, document the findings and report as required

A child is admitted with a suspected Wilms tumor (nephroblastoma). Which instruction is most important for all staff?

1. ADo not palpate the abdomen
2. BEncourage the child to play contact sports
3. CGive a warm bath with abdominal massage
4. DMeasure abdominal girth by pressing firmly