Ustalanie priorytetów i delegowanie: karta pracy z odpowiedziami

Which blood pressure in an adult suggests hypotension?

1. A110/70 mmHg
2. B82/48 mmHg
3. C118/76 mmHg
4. D126/82 mmHg

In a patient with sepsis, what does a raised blood lactate level suggest?

1. AThe liver is making too much bile
2. BThe kidneys are working harder than usual
3. CThe patient has eaten recently
4. DThe tissues are not getting enough oxygen

Using the PASS method for a fire extinguisher, what is the first step?

1. AAim at the base of the fire
2. BPull the pin
3. CSqueeze the handle
4. DSweep from side to side

Na oddziale chorób wewnętrznych, którego pacjenta powinna zobaczyć pielęgniarka w pierwszej kolejności?

1. APacjenta z depresją, który rozdał swoje rzeczy i ma plan samobójczy
2. BPacjenta z łagodnym napięciowym bólem głowy, który prosi o paracetamol
3. CPacjenta z nadciśnieniem, którego ciśnienie tętnicze wynosi 136/84 mmHg
4. DPacjenta, który prosi o pisemne informacje o jutrzejszym wypisie

A patient at 35 weeks of pregnancy with high blood pressure calls the clinic. Which symptom needs urgent assessment?

1. ABackache after a long walk
2. BA severe headache with blurred vision
3. CMild ankle swelling at the end of the day
4. DNeeding to pass urine more often

On a postpartum unit, which patient is the most appropriate to assign to an LPN/LVN?

1. AA new admission transferred from the labor ward with a fever of 38,6 °C
2. BDay 1 after an uncomplicated vaginal birth, stable vital signs
3. CSevere pre-eclampsia on a magnesium sulfate infusion
4. DOne hour after birth with heavy bleeding and a boggy uterus

A patient with SIADH has a serum sodium of 120 mEq/L and is newly confused. Which nursing action has priority?

1. ATeaching the patient about a low-sodium diet at home
2. BHelping the patient to walk in the corridor alone
3. CEncouraging the patient to drink plenty of water
4. DSeizure precautions and close neurological checks

Four laboratory results come back at once. Which one should the nurse report first?

1. AGlucose 180 mg/dL after a meal in a patient with diabetes
2. BHemoglobin 6,5 g/dL (65 g/L) in a patient with a GI bleed
3. CCreatinine 1,3 mg/dL in an older adult, unchanged from last week
4. DPotassium 3,4 mEq/L in a patient on a diuretic