Ustalanie priorytetów i delegowanie: karta pracy z odpowiedziami

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

1. AWykonane przez pielęgniarkę dyplomowaną (RN)
2. BPrzekazane rodzinie pacjenta
3. CZawsze zdelegowane LPN/LVN
4. DZdelegowane najbardziej doświadczonemu asystentowi pielęgniarskiemu

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

1. ADehydration
2. BBleeding
3. CHypertension
4. DInfection

Zgodnie z hierarchią potrzeb Maslowa, którym problemem pacjenta pielęgniarka zwykle zajmie się w pierwszej kolejności?

1. AIzolacją społeczną
2. BZaburzoną wymianą gazową
3. CNiską samooceną
4. DRyzykiem upadków w nocy

A patient is admitted with diabetic ketoacidosis. Which prescribed treatment is usually started first?

1. ASubcutaneous long-acting insulin only, given once
2. BIV isotonic fluid such as 0,9% sodium chloride
3. COral potassium tablets
4. DA high-carbohydrate meal

A patient coughs hard after abdominal surgery, and loops of bowel appear through the opened wound. What does the nurse do first?

1. APush the bowel gently back into the abdomen with a gloved hand
2. BLeave the wound uncovered so the surgeon can see it on arrival
3. CHelp the patient walk to the toilet to relieve abdominal pressure
4. DCover the wound with sterile dressings moistened with saline

Which practice makes a shift handover safest?

1. AA quick chat in the corridor with no notes taken
2. BHanding over only the patients who had problems during the shift
3. CLeaving a sticky note on the computer screen for the next nurse
4. DA structured format, such as SBAR, with time for questions

A patient’s serum potassium is 6,1 mEq/L. Which of the patient’s medications should the nurse question first?

1. AOmeprazole
2. BSpironolactone
3. CHydrochlorothiazide
4. DFurosemide

Several patients on a unit develop diarrhea within two days. What should the nurse do first?

1. AMove the affected patients into shared rooms with other patients to free up beds
2. BWait to see if more patients become unwell
3. CGive all patients antidiarrheal drugs without assessment
4. DPlace affected patients on contact precautions and inform infection control