Ustalanie priorytetów i delegowanie: karta pracy z odpowiedziami

Zadanie, które wymaga oceny, osądu pielęgniarskiego lub ewaluacji, powinno być:

1. AZdelegowane najbardziej doświadczonemu asystentowi pielęgniarskiemu
2. BWykonane przez pielęgniarkę dyplomowaną (RN)
3. CPrzekazane rodzinie pacjenta
4. DZawsze zdelegowane LPN/LVN

How many levels does the Emergency Severity Index have?

1. ASix
2. BThree
3. CFour
4. DFive

Before giving a medication, how many patient identifiers should the nurse check?

1. ANone, if the nurse already knows the patient well
2. BOne, the bed number
3. COne, the room number
4. DAt least two, such as name and date of birth

Cztery godziny po operacji tarczycy, który objaw u pacjenta powinna podjąć pielęgniarka w pierwszej kolejności?

1. AGłos, który staje się coraz bardziej ochrypły, z nowym szumem oddechowym
2. BNiewielka ilość surowiczego wycieku widoczna na opatrunku szyi
3. CBól w miejscu cięcia 4/10
4. DProśba o pomoc w usadzeniu, aby się napić

A parent of a child with influenza talks with the nurse. Which statement shows a need for further teaching?

1. A“I will give my child plenty of fluids.”
2. B“I will give my child aspirin to bring the fever down.”
3. C“I will call if my child has trouble breathing.”
4. D“I will keep my child home from school and away from others while unwell.”

An older patient with dementia is restless at night and keeps trying to get out of bed. Which measure should the nurse try first?

1. ARaise all four bed rails so the patient cannot climb out
2. BApply wrist restraints for the rest of the night
3. CGive a sedative from the as-needed list without first assessing the patient
4. DCheck for pain, thirst or a full bladder, and offer toileting

A patient has central chest pain that started 30 minutes ago at rest and has not eased with rest or nitroglycerin. What does this suggest?

1. AMuscle strain that needs a warm compress
2. BIndigestion that is best treated with an antacid and a glass of milk
3. CStable angina that will pass without treatment
4. DA possible myocardial infarction that needs urgent action

An RN sees an LPN/LVN crushing an extended-release metoprolol tablet to mix with applesauce. What should the RN do?

1. AReport the LPN/LVN at the end of the month without saying anything now
2. BStop the LPN/LVN and contact the prescriber or pharmacist about another form
3. CTell the LPN/LVN to give half of the crushed tablet now and the other half at lunchtime
4. DLet the LPN/LVN continue, since crushing makes the tablet easier to swallow