Ustalanie priorytetów i delegowanie: karta pracy z odpowiedziami

W delegowaniu, co oznaczają „właściwe wskazówki i komunikacja”?

1. APoproszenie osoby wykonującej, by zgłosiła niezwykłe ustalenia pod koniec dyżuru
2. BJasne, szczegółowe instrukcje: co zrobić, kiedy i o czym zgłosić z powrotem
3. CZapisanie zadania wyłącznie w dokumentacji pacjenta
4. DPowiedzenie osobie wykonującej, by kierowała się własnym osądem

What is the purpose of an early warning score, such as the National Early Warning Score (NEWS)?

1. ATo measure the patient’s satisfaction with care
2. BTo calculate the correct drug doses for each patient
3. CTo spot deterioration early from routine vital signs
4. DTo decide the patient’s diet

Which task is appropriate to delegate to a nursing assistant for an immobile but stable patient?

1. APlanning the patient’s skin care
2. BDeciding whether a pressure injury has got worse since yesterday
3. CChoosing which wound dressing to use
4. DTurning and repositioning the patient every 2 hours

A conscious patient with hypoglycemia drank juice 15 minutes ago. The glucose is now 62 mg/dL (3,4 mmol/L). What should the nurse do next?

1. AWait another hour, because juice can take a long time to work
2. BGive the next scheduled dose of rapid-acting insulin with the meal
3. CRecord the result and recheck the glucose at the usual time before the evening meal
4. DGive another serving of fast-acting carbohydrate and recheck in 15 minutes

A patient with diabetes is unresponsive and has a blood glucose of 40 mg/dL (2,2 mmol/L). What should the nurse do first?

1. AGive the scheduled dose of insulin
2. BPour orange juice into the patient’s mouth
3. CGive IV dextrose or glucagon as prescribed
4. DWait 15 minutes and recheck the glucose

A nurse has given rapid-acting insulin, and then learns that the patient’s meal tray will be 45 minutes late. What should the nurse do?

1. AAsk the patient to walk around the ward until the food arrives
2. BGive a second, smaller dose of insulin when the meal tray finally arrives
3. CTell the patient to wait and do nothing until the tray comes
4. DGet the patient some carbohydrate food now and check the glucose

After surgery, a patient who has taken long-term steroids becomes hypotensive and weak, and the blood pressure does not rise with IV fluids. Which problem should the nurse suspect?

1. ANormal tiredness after anesthesia
2. BFluid overload from too much IV fluid
3. CAdrenal crisis from steroid withdrawal
4. DAn allergic reaction to the anesthetic

An RN has five patients and a nursing assistant. One patient has just become short of breath. Which task should the RN delegate so that the RN can go to that patient?

1. AGiving the breathless patient’s IV furosemide
2. BExplaining the new diagnosis to the breathless patient’s family
3. CAssessing the breathless patient’s lung sounds
4. DMorning vital signs on the four stable patients