Ustalanie priorytetów i delegowanie: karta pracy z odpowiedziami

W trzystopniowym systemie triażu pacjent ze skręconą kostką, prawidłowymi parametrami życiowymi i łagodnym bólem jest zwykle zaklasyfikowany jako:

1. ANiepilny
2. BNagły (emergent)
3. CPilny
4. DOczekujący (expectant)

In Maslow’s hierarchy of needs, which level sits at the top?

1. ALove and belonging
2. BSelf-actualization
3. CEsteem
4. DSafety and security

Which drug is used to reverse the effect of warfarin?

1. ANaloxone
2. BProtamine sulfate
3. CVitamin K
4. DFlumazenil

A nurse teaches a patient about storing insulin at home. Which statement shows a need for further teaching?

1. A“I will keep unopened insulin in the fridge.”
2. B“I will keep my spare insulin in the freezer so it lasts longer.”
3. C“I will check the expiry date on the label before I use the vial.”
4. D“I will not leave my insulin in a hot car.”

When making patient assignments, what should the charge nurse consider first?

1. AGiving the newest staff the most complex patients
2. BLetting staff choose the patients they prefer
3. CMatching each patient’s needs to staff competence
4. DGiving each nurse patients in rooms next to each other

A patient on a medical unit tells the nurse he has a plan to end his life and has saved tablets at home. What is the priority action?

1. AEnsure constant observation and remove anything he could use to harm himself
2. BAsk him to promise he will not harm himself
3. CArrange a psychiatry appointment for next week
4. DReassure him that things usually look better in the morning after some sleep

A nurse must care for a patient with a radioactive implant. Which approach best limits the nurse’s exposure?

1. AStand close to the patient to finish care faster
2. BWear a surgical mask to block the radiation
3. CLimit time in the room, keep as far away as possible and use shielding
4. DSpend longer in the room each time but visit less often during the shift

A child who had a tonsillectomy this morning is swallowing again and again while asleep. What should the nurse suspect?

1. AHunger after fasting for surgery
2. BNormal swallowing during sleep
3. CA sore throat from the breathing tube
4. DBleeding from the operation site