Ustalanie priorytetów i delegowanie: karta pracy z odpowiedziami

Which serum sodium value is within the normal adult range?

1. A120 mEq/L (120 mmol/L)
2. B152 mEq/L (152 mmol/L)
3. C140 mEq/L (140 mmol/L)
4. D128 mEq/L (128 mmol/L)

What does a “STAT” order mean?

1. ACarry it out within the next 24 hours
2. BCarry it out immediately
3. CCarry it out only if the patient asks for it
4. DCarry it out at the next routine round

In stroke care, what does the “last known well” time mean?

1. AThe time of the patient’s last meal
2. BThe time the first symptom was noticed by a stranger
3. CThe time the patient arrived at the hospital and was triaged
4. DThe last time the patient was seen without stroke symptoms

A nurse teaches a patient who uses home oxygen. Which statement shows a need for further teaching?

1. A“I will not use oil-based creams on my face.”
2. B“My husband can smoke in my room if the window is open.”
3. C“I will keep the oxygen away from the gas stove.”
4. D“I will put up no-smoking signs at the front door and in my room.”

A patient with a head injury is being monitored. Which set of findings suggests rising intracranial pressure?

1. ALow temperature, fast breathing and a strong appetite
2. BFalling blood pressure, a fast pulse and warm, flushed dry skin
3. CNormal blood pressure, normal pulse and clear speech
4. DRising systolic pressure, slow pulse and irregular breathing

A patient has taken prednisone (prednisolone in many countries) for several months. Which statement shows a need for further teaching?

1. A“I will tell my dentist and other doctors that I take a steroid.”
2. B“I will take the tablets with food.”
3. C“I will stop the tablets as soon as I feel better.”
4. D“I will report signs of infection early.”

Pacjent z krwawieniem z górnego odcinka przewodu pokarmowego ma tętno 128/min i ciśnienie tętnicze 84/50 mmHg. Wszystkie poniższe są zlecone. Które z nich pielęgniarka rozpoczyna w pierwszej kolejności?

1. ADoustne tabletki żelaza
2. BPłyn dożylny lub krew przez kaniule o dużej średnicy
3. CDożylny wlew inhibitora pompy protonowej
4. DZaplanowanie diagnostycznej endoskopii na następny ranek

A patient has a potassium of 7,0 mEq/L with peaked T waves. Several drugs are prescribed. Which one is usually given first to protect the heart?

1. AOral sodium bicarbonate
2. BIV calcium gluconate
3. COral potassium binder
4. DIV furosemide