Ustalanie priorytetów i delegowanie: karta pracy z odpowiedziami

What is a transient ischemic attack (TIA)?

1. AA heart attack that affects the brain
2. BBrief stroke-like symptoms that resolve, warning of a possible stroke
3. CA stroke that leaves permanent weakness or paralysis on one side of the body
4. DA type of migraine with no link to stroke

Jaka kolejność obowiązuje w aktualnych zasadach podstawowych zabiegów resuscytacyjnych (BLS) przy zatrzymaniu krążenia u dorosłego?

1. AB-C-A: oddychanie, krążenie, drogi oddechowe
2. BA-B-C: drogi oddechowe, oddychanie, krążenie
3. CC-A-B: uciśnięcia klatki piersiowej, drogi oddechowe, oddychanie
4. DA-C-B: drogi oddechowe, uciśnięcia, oddychanie

Which blood pressure in an adult suggests hypotension?

1. A126/82 mmHg
2. B118/76 mmHg
3. C82/48 mmHg
4. D110/70 mmHg

A nurse has called the rapid response team for a deteriorating patient. What should the nurse do while waiting for the team?

1. ALeave the patient for a few minutes to find the relatives and explain what is happening
2. BGo to the station to finish documentation for other patients
3. CGive a dose of every as-needed medication on the chart
4. DStay with the patient, give oxygen as prescribed and have recent vital signs ready

A patient’s peripheral IV site is swollen, pale and cool, and the infusion has slowed. What should the nurse do first?

1. AStop the infusion and remove the cannula
2. BFlush the cannula hard to clear the blockage
3. CApply a tight bandage over the site to reduce swelling
4. DIncrease the infusion rate to overcome the resistance

An older patient with dementia is restless at night and keeps trying to get out of bed. Which measure should the nurse try first?

1. ACheck for pain, thirst or a full bladder, and offer toileting
2. BGive a sedative from the as-needed list without first assessing the patient
3. CApply wrist restraints for the rest of the night
4. DRaise all four bed rails so the patient cannot climb out

Which patient with cirrhosis should the nurse see first?

1. AVomiting bright red blood, heart rate 120/min
2. BLarge ascites that is unchanged from yesterday
3. CWants to talk about stopping drinking alcohol for good
4. DLong-standing jaundice and itchy skin, asking for cream

Which nursing approach may raise intracranial pressure in a patient with a head injury?

1. AKeeping the room calm and quiet
2. BKeeping the head in line with the body
3. CDoing suctioning, turning and bathing all at the same time
4. DSpacing out care with rest periods in between activities