Ustalanie priorytetów i delegowanie: karta pracy z odpowiedziami

Which protective equipment is needed for droplet precautions?

1. AA surgical mask when close to the patient
2. BGloves only, with no mask
3. CA lead apron and goggles
4. DA fitted N95 respirator at all times in the room

W delegowaniu, co oznacza „właściwy nadzór i ocena”?

1. APielęgniarka monitoruje, interweniuje w razie potrzeby i sprawdza wynik
2. BPielęgniarka oddziałowa zatwierdza wszystkie delegowane zadania na koniec dyżuru
3. CPielęgniarka obserwuje każdą sekundę każdego delegowanego zadania
4. DOsoba wykonująca sama sprawdza i zatwierdza swoją pracę po fakcie

Which symptoms suggest high blood glucose (hyperglycemia)?

1. ASweating, shaking and a fast pulse
2. BSudden hunger with cold, clammy skin
3. CConfusion that improves quickly with juice
4. DIncreased thirst and passing more urine

A patient speaks little English, and the nurse needs to explain a new procedure. What is the best way to communicate?

1. ASpeak loudly and slowly in English
2. BAsk the patient’s 10-year-old child to translate
3. CUse a professional medical interpreter
4. DUse hand gestures and hope the patient understands

Which patient is at the highest risk of falling?

1. AAn 84-year-old taking a diuretic who has fallen before and gets up at night
2. BA 45-year-old with asthma who is alert and independent
3. CA 60-year-old admitted for chest pain that has since been ruled out by tests
4. DA 30-year-old after an appendectomy who walks with steady steps

Which newborn finding needs prompt reporting?

1. AJaundice that appears within the first 24 hours
2. BMilia (small white spots) on the nose
3. CMild jaundice that first appears on the third day
4. DBluish hands and feet in the first hours

Pacjent otrzymuje żywienie pozajelitowe przez cewnik centralny. Który objaw wymaga natychmiastowego działania?

1. ASuchy, nienaruszony opatrunek nad cewnikiem
2. BPocenie się, drżenie i glikemia 62 mg/dL (3,4 mmol/L) po nieoczekiwanym zatrzymaniu wlewu
3. CPrzyrost masy ciała o 0,2 kg od wczoraj
4. DGlikemia 150 mg/dL (8,3 mmol/L) podczas trwającego wlewu

A provider asks a nurse to perform a procedure that is outside the nurse’s scope of practice. What should the nurse do?

1. AAsk a nursing assistant to do it instead
2. BDo it just this once and promise the provider not to do it again
3. CDecline, explain why and suggest who can safely do it
4. DDo it, because the provider gave the instruction