Ustalanie priorytetów i delegowanie: karta pracy z odpowiedziami

Which patient needs a single room with airborne precautions?

1. AA patient with a fractured femur
2. BA patient with type 2 diabetes
3. CA patient with a urinary tract infection and a catheter
4. DA patient with suspected pulmonary tuberculosis

In the Emergency Severity Index (ESI), which patient fits level 2?

1. AA stable patient who needs one resource
2. BA stable patient who needs no resources
3. CA patient who needs an immediate life-saving intervention to survive
4. DA high-risk situation, new confusion, or severe pain or distress

What is a “near miss” in patient safety?

1. AAn error that was caught before it reached the patient
2. BA complaint from a visitor
3. CA planned treatment that did not work
4. DAn error that reached the patient and caused serious harm

A patient has a blood pressure of 210/120 mmHg. Which finding would make this a hypertensive emergency?

1. AForgetting to take the blood pressure tablet this morning
2. BMild anxiety about the high reading on the monitor
3. CA history of high blood pressure for ten years
4. DNew chest pain or confusion suggesting organ damage

A patient uses patient-controlled analgesia (PCA) after surgery. Which statement by a family member shows a need for further teaching?

1. A“I will press the button for her while she is asleep so she stays comfortable.”
2. B“The pump has limits set by the nurse so she cannot get too much at once.”
3. C“Only she should press the button when she needs pain relief.”
4. D“I will tell the nurse if she becomes very sleepy or hard to wake.”

One day after surgery, a patient walked safely with the RN this morning. The RN now asks a nursing assistant to walk her again. Which instruction is most important?

1. A“Walk her to the end of the corridor and back twice before lunch.”
2. B“Make sure she wears her own slippers if she has them.”
3. C“Try to finish the walk before the lunch trays arrive.”
4. D“Stop and call me at once if she feels dizzy or short of breath.”

A severely malnourished patient started nutrition two days ago and now has weakness and confusion. Which laboratory result should the nurse check first?

1. ASerum phosphate
2. BSerum amylase
3. CThyroid hormone
4. DSerum cholesterol

Asystent pielęgniarski zmierzył parametry życiowe 15 minut po pierwszej dawce morfiny u pacjenta. Zgłasza częstość oddechów 10/min i mówi, że pacjent trudno się budzi. Co powinna zrobić pielęgniarka?

1. AZadzwonić do lekarza po zlecenia, zanim pójdzie zobaczyć pacjenta
2. BUdokumentować ustalenia i powiedzieć lekarzowi na następnym zaplanowanym obchodzie
3. CPoprosić asystenta o ponowny pomiar częstości oddechów za 15 minut i zgłoszenie wyniku
4. DPójść od razu, obudzić pacjenta, wspomagać oddychanie i przygotować nalokson zgodnie ze zleceniem