Ustalanie priorytetów i delegowanie: karta pracy z odpowiedziami

Which finding is expected in a patient with long-standing COPD?

1. ASudden sharp chest pain
2. BNew confusion
3. CA barrel-shaped chest
4. DAn SpO₂ of 78%

Which finding is one of the quick SOFA (qSOFA) criteria for possible sepsis?

1. ABlood glucose above 100 mg/dL
2. BTemperature below 36,5 °C on one reading
3. CRespiratory rate of 22/min or more
4. DHeart rate below 60/min

W delegowaniu, co oznacza „właściwy nadzór i ocena”?

1. APielęgniarka monitoruje, interweniuje w razie potrzeby i sprawdza wynik
2. BPielęgniarka obserwuje każdą sekundę każdego delegowanego zadania
3. CPielęgniarka oddziałowa zatwierdza wszystkie delegowane zadania na koniec dyżuru
4. DOsoba wykonująca sama sprawdza i zatwierdza swoją pracę po fakcie

Two hours after birth, the nurse finds the uterus firm but above the umbilicus and pushed to the right. What should the nurse do first?

1. AMassage the uterus firmly for ten minutes
2. BAsk the patient to lie still for another hour
3. CHelp the patient empty her bladder
4. DGive a dose of oxytocin straight away

A nurse teaches a patient with heart failure. Which statement shows a need for further teaching?

1. A“I add extra salt to my food so it tastes better.”
2. B“I will weigh myself every morning after I use the toilet.”
3. C“I will take my water tablet in the morning.”
4. D“I will call if my weight goes up quickly over a day or two.”

On day 3 after hip surgery, a patient suddenly becomes short of breath with sharp chest pain and an SpO₂ of 88%. What should the nurse do first?

1. AGive the next dose of oral analgesia and reassess the patient in an hour
2. BMassage the patient’s calves to ease any muscle cramp
3. CEncourage the patient to walk to improve the circulation
4. DRaise the head of the bed, give oxygen and call for urgent help

At the end of a shift, the nurse’s relief has not arrived and the patients are acutely ill. What should the nurse do?

1. AStay and tell the charge nurse, and hand over before leaving
2. BLeave on time, because the shift has officially ended
3. CLeave a written note at the station and go home
4. DAsk a nursing assistant to watch the patients until someone comes

After a vaginal birth, the uterus is firm and central, but bright red blood keeps trickling steadily. What should the nurse suspect?

1. AA tear in the birth canal or cervix
2. BUterine atony that needs more massage
3. CNormal lochia for the first hour
4. DA full bladder pushing the uterus aside