Ustalanie priorytetów i delegowanie: karta pracy z odpowiedziami

In mmHg, what is the normal range for arterial PaCO₂?

1. A35–45 mmHg
2. B22–26 mmHg
3. C7,35–7,45 mmHg
4. D80–100 mmHg

Which blood pressure in an adult suggests hypotension?

1. A126/82 mmHg
2. B110/70 mmHg
3. C118/76 mmHg
4. D82/48 mmHg

What does a “STAT” order mean?

1. ACarry it out at the next routine round
2. BCarry it out within the next 24 hours
3. CCarry it out only if the patient asks for it
4. DCarry it out immediately

A patient with heart failure gained 2 kg (about 4 lb) since yesterday and is more breathless when lying down. What should the nurse do first?

1. AEncourage extra fluids to correct the weight change
2. BLay the patient flat to help them breathe more easily
3. CRecord the weight on the chart and recheck it at the next weekly weigh-in
4. DAssess the lungs, oxygen saturation and swelling, then inform the provider

Which patient is most suitable for the nurse to assign to a nurse who has just finished orientation?

1. AA patient with stable cellulitis on scheduled IV antibiotics
2. BA patient on a continuous heparin infusion with rising aPTT values
3. CA patient with a new tracheostomy who needs frequent suctioning
4. DA patient with sepsis whose blood pressure is falling

A patient with a spinal cord injury at T4 suddenly has a severe headache, flushing above the injury and a blood pressure of 200/110 mmHg. What does the nurse do first?

1. AGive a warm drink and recheck the blood pressure in an hour
2. BSit the patient upright with the legs lowered
3. CApply extra blankets to keep the patient warm and calm
4. DLay the patient flat with the legs raised

A patient with major depression has been withdrawn for weeks but is suddenly calm and cheerful and gives away her belongings. What should the nurse suspect?

1. AThat she is getting ready for discharge as planned
2. BA full recovery, so observation can be reduced
3. CA side effect of her antidepressant medicine that needs no special action
4. DA raised risk of suicide, because she may have made a decision

A patient arrives one hour after the start of stroke symptoms. Which step must happen before a thrombolytic drug can be given?

1. AAn echocardiogram to look for clots
2. BA brain scan to rule out bleeding
3. CA full lipid profile to check cholesterol
4. DA swallow test with a cup of water