Ustalanie priorytetów i delegowanie: karta pracy z odpowiedziami

When a charge nurse makes patient assignments, what does a patient’s “acuity” mean?

1. AHow ill the patient is and how much nursing care they need
2. BHow far the patient’s room is from the nurses’ station
3. CHow many visitors the patient is expected to have
4. DHow long the patient has been in the hospital since admission

What does the Braden Scale measure?

1. AThe level of consciousness after a head injury
2. BThe risk of falling during a hospital stay
3. CThe severity of alcohol withdrawal symptoms
4. DThe risk of developing a pressure injury

What is the CIWA scale used to assess?

1. AThe severity of a newborn’s jaundice
2. BThe risk of a pressure injury
3. CThe severity of alcohol withdrawal
4. DThe depth of a burn wound

A patient coughs hard after abdominal surgery, and loops of bowel appear through the opened wound. What does the nurse do first?

1. AHelp the patient walk to the toilet to relieve abdominal pressure
2. BPush the bowel gently back into the abdomen with a gloved hand
3. CCover the wound with sterile dressings moistened with saline
4. DLeave the wound uncovered so the surgeon can see it on arrival

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. BLay the patient flat with the legs raised
3. CSit the patient upright with the legs lowered
4. DApply extra blankets to keep the patient warm and calm

A patient has a tonic-clonic seizure in bed. What should the nurse do first?

1. AProtect the head and turn the patient on their side when possible
2. BPlace a tongue depressor between the teeth
3. CGive a drink of water to help the patient wake
4. DHold the arms and legs down firmly to stop the jerking movements quickly

Którego pacjenta pielęgniarka powinna zgłosić zespołowi szybkiego reagowania w pierwszej kolejności?

1. APacjenta z zapaleniem tkanki łącznej z temperaturą 38,1 °C i poza tym prawidłowymi parametrami życiowymi
2. BPacjenta po operacji kolana z bólem 6/10 i prawidłowymi parametrami życiowymi
3. CPacjenta z zakażeniem układu moczowego, który jest nowo splątany, ma częstość oddechów 26/min i ciśnienie skurczowe 94 mmHg
4. DPacjenta ze znanym nadciśnieniem, którego ciśnienie tętnicze wynosi 152/94 mmHg i który czuje się dobrze

A victim heavily contaminated with an industrial chemical arrives at the emergency department with stable vital signs. What should happen first?

1. ATaking the victim straight to the X-ray department
2. BPlacing the victim in the waiting room until a doctor is free
3. CDecontamination before the victim enters the treatment area
4. DFull assessment inside the main department straight away