Ustalanie priorytetów i delegowanie: karta pracy z odpowiedziami

What are Kussmaul respirations?

1. ADeep, rapid breathing seen in metabolic acidosis such as DKA
2. BShort pauses in breathing during normal sleep
3. CNoisy, high-pitched breathing caused by a blocked upper airway
4. DSlow, shallow breathing after an opioid overdose

After chemotherapy, a patient has a very low neutrophil count. Which risk is the nursing priority?

1. ADehydration
2. BHypertension
3. CBleeding
4. DInfection

Which patient concern belongs to the esteem level of Maslow’s hierarchy?

1. AThirst after a long period of fasting before a test
2. BWorry about body image after a mastectomy
3. CFear of slipping in the shower
4. DMissing friends from home

A nurse needs to give report on a patient to a colleague. Which information is the most important to include?

1. AThe patient’s current condition, recent changes and pending tasks
2. BThe patient’s favorite television programs and hobbies
3. CDetails of the nurse’s own break times that shift
4. DPersonal opinions about the patient’s family members and their visiting habits

A nursing assistant tells the RN that a patient’s IV pump is alarming. What is the best response?

1. A“Turn the pump off and on again until it stops.”
2. B“I will come and check the pump and the IV site now.”
3. C“Silence the alarm and I will check it at the end of the shift.”
4. D“Increase the rate a little so the alarm clears.”

After a hip replacement using a posterior approach, which statement shows a need for further teaching?

1. A“I will use a raised toilet seat at home.”
2. B“I will keep a pillow between my knees when I lie on my side in bed.”
3. C“I will not bend my hip past 90 degrees.”
4. D“I will cross my legs when I sit, so I am more comfortable.”

A patient with a severe asthma attack had a PaCO₂ of 32 mmHg (4,3 kPa) on arrival. An hour later it is 46 mmHg (6,1 kPa), and the patient seems tired. What does this suggest?

1. AA laboratory error that should be ignored
2. BThe asthma is improving, because the PaCO₂ is now near normal
3. CThe patient is hyperventilating even more than before and needs calming
4. DRespiratory muscle fatigue with possible impending respiratory failure

Two weeks after birth, a mother says she hears voices telling her the baby is evil. What is the priority?

1. AReassure her that this is normal “baby blues”
2. BLeave her alone with the baby to bond
3. CAdvise more sleep and book a routine follow-up visit for next month
4. DKeep the mother and baby safe and arrange urgent psychiatric care