Ustalanie priorytetów i delegowanie: karta pracy z odpowiedziami

In SBAR communication, what does the letter R stand for?

1. AResponse
2. BReassessment
3. CRecommendation
4. DResult

Which statement belongs in the Background part of an SBAR report?

1. A“He was admitted three days ago with pneumonia and also has COPD.”
2. B“I think he may be developing sepsis.”
3. C“I am calling about Mr Khan because his blood pressure has dropped.”
4. D“I would like you to see him within the next 15 minutes.”

What does a raised troponin level usually show?

1. ALow blood sugar
2. BA urinary tract infection
3. CDamage to heart muscle
4. DDamage to the liver

On the first day after abdominal surgery, a patient has a temperature of 37,9 °C and reduced breath sounds at the lung bases. Which nursing action is most helpful?

1. AEncourage deep breathing, coughing and use of the incentive spirometer
2. BGive a cough suppressant so that the incision is not strained
3. CKeep the patient lying flat in bed to rest the incision fully
4. DRestrict oral fluids so that the lungs do not fill up with extra fluid

A patient with asthma uses a peak flow meter. A reading below 50% of personal best is in the red zone. Which statement shows correct understanding?

1. A“I will wait until tomorrow morning to see if the reading gets better on its own.”
2. B“I will use my reliever inhaler and get emergency help straight away.”
3. C“I will stop all my inhalers until the reading is back up.”
4. D“I will go for a short run to open up my lungs.”

Which patient with diabetes should the nurse see first?

1. AGlucose 48 mg/dL (2,7 mmol/L), sweating and confused
2. BHbA1c result of 8,2%, asking about diet
3. CGlucose 210 mg/dL (11,7 mmol/L) after a large lunch, feels well
4. DNeeds foot care teaching before discharge tomorrow

Pacjent z cewnikiem centralnym nagle odczuwa duszność, ból w klatce piersiowej i spadek SpO₂ podczas usuwania cewnika. Co robi pielęgniarka w pierwszej kolejności?

1. APrzepłukuje cewnik solą fizjologiczną, aby usunąć ewentualną niedrożność
2. BSadza pacjenta w pozycji pionowej i szybko kończy usuwanie cewnika
3. CProsi pacjenta o wolne, głębokie oddechy i kontynuuje
4. DZakrywa miejsce wkłucia, układa pacjenta na lewym boku z głową w dół, podaje tlen i wzywa pomoc

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

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