Ustalanie priorytetów i delegowanie: karta pracy z odpowiedziami

When a charge nurse makes patient assignments, what does a patient’s “acuity” mean?

1. AHow far the patient’s room is from the nurses’ station
2. BHow many visitors the patient is expected to have
3. CHow ill the patient is and how much nursing care they need
4. DHow long the patient has been in the hospital since admission

Który pacjent jest najbardziej stabilny?

1. APacjent, który nowo uległ splątaniu
2. BPacjent z nowym bólem w klatce piersiowej
3. CPacjent dwa dni po operacji kolana z bólem 3/10 i prawidłowymi parametrami życiowymi
4. DPacjent, którego ciśnienie tętnicze spadło z 132/80 do 90/56 mmHg

In the AVPU scale, what does the P mean?

1. AResponds only to pain
2. BPulse present and regular
3. CPain score below 5
4. DPupils equal and reactive

Which SBAR recommendation is the clearest?

1. A“I would like you to see him within 15 minutes and consider a fluid bolus.”
2. B“I just wanted to let you know about him.”
3. C“I will keep watching him and call again tomorrow.”
4. D“He seems a bit off tonight, so maybe you could come up and do something about it.”

Cztery godziny po operacji tarczycy, który objaw u pacjenta powinna podjąć pielęgniarka w pierwszej kolejności?

1. AGłos, który staje się coraz bardziej ochrypły, z nowym szumem oddechowym
2. BProśba o pomoc w usadzeniu, aby się napić
3. CBól w miejscu cięcia 4/10
4. DNiewielka ilość surowiczego wycieku widoczna na opatrunku szyi

Straight after birth, what is the first priority for a healthy-looking newborn?

1. ADry and warm the baby while checking that it is breathing
2. BGive the first bath to remove the blood and vernix
3. CWeigh and measure the baby on the scale
4. DGive the vitamin K injection before anything else is done

Which finding most suggests a tension pneumothorax rather than a simple pneumothorax?

1. AMild breathlessness with reduced breath sounds on one side of the chest only
2. BSharp chest pain that is worse on deep breathing
3. CTrachea shifted away from the affected side, with low blood pressure
4. DA small air leak seen on a routine chest X-ray

A patient receiving comfort-focused end-of-life care is distressed by breathlessness. Which approach is most appropriate?

1. AGive prescribed opioids and use positioning and a fan to relieve breathlessness
2. BWithhold all opioids because they may slow breathing
3. CStart a series of aggressive tests to find the exact cause of the breathlessness
4. DLeave the patient alone so they can rest