Ustalanie priorytetów i delegowanie: karta pracy z odpowiedziami

Which serum sodium value is within the normal adult range?

1. A152 mEq/L (152 mmol/L)
2. B120 mEq/L (120 mmol/L)
3. C140 mEq/L (140 mmol/L)
4. D128 mEq/L (128 mmol/L)

Które stwierdzenie najlepiej opisuje delegowanie w pielęgniarstwie?

1. APrzekazanie innej osobie całej odpowiedzialności za pacjenta
2. BPoproszenie lekarza o przejęcie zadania, na które pielęgniarka nie ma czasu
3. CPrzekazanie kompetentnej osobie uprawnień do wybranego zadania, przy czym pielęgniarka pozostaje odpowiedzialna
4. DOdmowa wykonania zadania, ponieważ wykracza poza własną rolę

An adult without lung disease is breathing room air. Which SpO₂ reading needs action?

1. A96%
2. B89%
3. C97%
4. D99%

A nursing assistant tells the RN that a patient’s IV pump is alarming. What is the best response?

1. A“I will come and check the pump and the IV site now.”
2. B“Turn the pump off and on again until it stops.”
3. C“Increase the rate a little so the alarm clears.”
4. D“Silence the alarm and I will check it at the end of the shift.”

A patient is in skeletal traction. Which finding needs the nurse to act?

1. AThe patient’s body is in line with the traction
2. BThe weights are resting on the floor
3. CThe ropes are in the pulleys
4. DThe weights are hanging freely

A patient is raising his voice, pacing and clenching his fists. What should the nurse do first?

1. ATurn away and ignore the behavior
2. BSpeak calmly, keep a safe distance and invite him to talk about what is wrong
3. CStand very close to him and tell him firmly and loudly to sit down and be quiet
4. DApply physical restraints at once

A patient with COPD on 2 L/min oxygen becomes drowsy and hard to wake. The SpO₂ is 93%. What is the priority?

1. AAssess breathing and escalate for a blood gas, as carbon dioxide may be rising
2. BIncrease the oxygen to 6 L/min so that the saturation goes even higher than now
3. CGive the as-needed sedative so the patient rests comfortably
4. DLet the patient sleep, because the saturation is above target

A patient on airborne precautions for suspected tuberculosis must go to the radiology department. What should the patient wear during transport?

1. AA fit-tested N95 respirator
2. BNothing, if the trip is short
3. CGloves and a gown only
4. DA surgical mask