Ustalanie priorytetów i delegowanie: karta pracy z odpowiedziami

Which adult blood glucose result needs treatment straight away?

1. A110 mg/dL (6,1 mmol/L) after a snack
2. B52 mg/dL (2,9 mmol/L) with sweating and shakiness
3. C130 mg/dL (7,2 mmol/L) two hours after a large lunch
4. D98 mg/dL (5,4 mmol/L) before breakfast

Which maneuver opens the airway of an unresponsive adult with no suspected spinal injury?

1. AJaw thrust without head tilt
2. BTurning the head sharply to one side
3. CRaising the legs above the heart
4. DHead-tilt, chin-lift

In nursing management, what is an “assignment”?

1. AAsking a colleague to do a task outside their usual scope
2. BA written order from a prescriber for a treatment
3. CHanding legal accountability for a patient over to a nursing colleague
4. DGiving staff care activities that are within their own role and scope

A patient with asthma uses a peak flow meter. A reading below 50% of personal best is in the red zone. Which statement shows correct understanding?

1. A“I will wait until tomorrow morning to see if the reading gets better on its own.”
2. B“I will go for a short run to open up my lungs.”
3. C“I will use my reliever inhaler and get emergency help straight away.”
4. D“I will stop all my inhalers until the reading is back up.”

A patient with schizophrenia says voices are telling him to hurt his roommate. What is the priority?

1. AKeep everyone safe and tell the team, as the risk of harm is high
2. BIgnore the comment, because voices are part of his illness
3. CAsk the roommate to stay in the room with him and help calm him down
4. DTell him the voices are not real and leave him alone

Po przekazaniu dyżuru, którego pacjenta powinna zobaczyć pielęgniarka w pierwszej kolejności?

1. APacjenta z cukrzycą, u którego glikemia przed śniadaniem wynosi 160 mg/dL (8,9 mmol/L)
2. BPacjenta z astmą, który używa mięśni dodatkowych oddechowych i ma SpO₂ 88%
3. CPacjenta dwa dni po endoprotezoplastyce biodra z bólem 5/10
4. DPacjenta z zapaleniem płuc, z temperaturą 38,2 °C, który otrzymał lek przeciwgorączkowy 30 minut temu

A patient with a severe asthma attack had a PaCO₂ of 32 mmHg (4,3 kPa) on arrival. An hour later it is 46 mmHg (6,1 kPa), and the patient seems tired. What does this suggest?

1. AThe patient is hyperventilating even more than before and needs calming
2. BRespiratory muscle fatigue with possible impending respiratory failure
3. CA laboratory error that should be ignored
4. DThe asthma is improving, because the PaCO₂ is now near normal

A patient has full-thickness burns all the way around the chest and is finding it harder to breathe, although the airway is clear. What does this suggest?

1. AThe burns are healing and the skin is tightening normally
2. BThe patient has had too little IV fluid and needs a fast bolus to improve the breathing
3. CThe tight burned skin is restricting chest movement, so an escharotomy may be needed
4. DThe patient is anxious and only needs reassurance