Ustalanie priorytetów i delegowanie: karta pracy z odpowiedziami

Which adult blood glucose result needs treatment straight away?

1. A98 mg/dL (5,4 mmol/L) before breakfast
2. B52 mg/dL (2,9 mmol/L) with sweating and shakiness
3. C110 mg/dL (6,1 mmol/L) after a snack
4. D130 mg/dL (7,2 mmol/L) two hours after a large lunch

Which task is appropriate to delegate to a nursing assistant?

1. AGiving a stable patient their oral medications
2. BFeeding a patient with newly diagnosed dysphagia after a stroke
3. CAssessing a pressure injury on the sacrum
4. DFeeding a stable patient who has no swallowing problems

Which finding should a nursing assistant report to the nurse at once?

1. AA patient whose weight is unchanged from yesterday
2. BA patient who wants to shower in the evening
3. CA patient who would like tea instead of coffee
4. DA pulse of 42/min in a patient whose usual pulse is 76/min

A patient with type 1 diabetes has vomited since morning and cannot eat. Which action is most important?

1. AEncourage a large meal to settle the stomach
2. BCheck the blood glucose and ketones and contact the provider
3. CWait until tomorrow to see if the vomiting settles
4. DStop all insulin until the patient is able to eat normally again

A patient taking warfarin has an INR of 5,2 and no signs of bleeding. What should the nurse do?

1. AHold the warfarin dose and inform the provider
2. BEncourage the patient to take aspirin for pain
3. CGive a double dose to correct the result
4. DGive the usual dose and recheck the INR next month

One hour after a vaginal birth, the nurse finds a soft, boggy uterus and heavy bleeding. What is the first action?

1. AApply an ice pack to the perineum
2. BOffer a meal and fluids
3. CEncourage the patient to rest quietly
4. DMassage the fundus

W katastrofie o bardzo ograniczonych zasobach poszkodowany z ciężkimi oparzeniami na prawie całym ciele zostaje oznaczony kartą czarną. Jaka zasada wyjaśnia tę decyzję?

1. ACzynienie największego dobra dla największej liczby osób
2. BLeczenie poszkodowanych w kolejności przybycia
3. CLeczenie najciężej rannej osoby w pierwszej kolejności
4. DLeczenie najmłodszych poszkodowanych w pierwszej kolejności

A patient with raised intracranial pressure is being nursed on the ward. Which position is best?

1. AHead down with the legs raised above the heart
2. BFlat on the back with the head turned well over to one side
3. CSitting forward with the chin on the chest
4. DHead of the bed at about 30 degrees with the neck straight