Ustalanie priorytetów i delegowanie: karta pracy z odpowiedziami

W delegowaniu, co oznacza „właściwa osoba”?

1. AOsoba wykonująca jest tym członkiem personelu, który ma najmniej pracy
2. BOsoba wykonująca jest najstarszym stażem asystentem na dyżurze
3. CPacjent zgodził się na opiekę ze strony osoby wykonującej
4. DOsoba wykonująca jest przeszkolona, kompetentna i uprawniona do wykonania zadania

In a three-level triage system, what does “urgent” mean?

1. AAlready deceased on arrival
2. BSerious but stable for now, and needs care soon
3. CMinor, and can safely wait for several hours
4. DLife-threatening and needs care immediately

What is the usual adult reference range for serum potassium?

1. AAbout 6,0–8,0 mEq/L
2. BAbout 1,5–2,5 mEq/L
3. CAbout 3,5–5,0 mEq/L
4. DAbout 135–145 mEq/L

A patient wants to leave the hospital against medical advice. What should the nurse do?

1. ALock the door so the patient cannot leave the unit
2. BInform the provider, explain the risks and document the discussion
3. CHide the patient’s clothes and belongings until the provider arrives
4. DLet the patient leave without telling anyone

Which SBAR recommendation is the clearest?

1. A“I would like you to see him within 15 minutes and consider a fluid bolus.”
2. B“I will keep watching him and call again tomorrow.”
3. C“He seems a bit off tonight, so maybe you could come up and do something about it.”
4. D“I just wanted to let you know about him.”

Before accessing a central venous catheter, what should the nurse do to prevent infection?

1. ATouch the hub to check it is clean
2. BScrub the hub with an antiseptic such as chlorhexidine and let it dry
3. CRinse the hub with tap water and dry it
4. DBlow on the hub to remove any dust before connecting the syringe or line

Two patients on the unit have the same surname. What should the nurse do before giving a medication?

1. ACheck two identifiers against the wristband and the medication record
2. BUse the room number as the main identifier
3. CAsk the patient, “Are you Mr Smith?” and give the drug once he says yes
4. DAsk a nursing assistant which patient is which

A patient in acute mania paces constantly, has lost weight and will not sit down to eat. Which intervention is most helpful?

1. ALeave meals in the room and let the patient eat whenever and whatever they choose
2. BWait until the mania settles before worrying about nutrition
3. COffer high-calorie finger foods and drinks the patient can take while moving
4. DInsist that the patient sits at the table until the meal is finished