Ustalanie priorytetów i delegowanie: karta pracy z odpowiedziami

What is the CIWA scale used to assess?

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

Which symptoms suggest high blood glucose (hyperglycemia)?

1. AConfusion that improves quickly with juice
2. BSudden hunger with cold, clammy skin
3. CSweating, shaking and a fast pulse
4. DIncreased thirst and passing more urine

In the AVPU scale, what does the P mean?

1. APain score below 5
2. BPupils equal and reactive
3. CResponds only to pain
4. DPulse present and regular

Asystent pielęgniarski zgłasza stan czterech pacjentów. Które zgłoszenie wymaga uwagi pielęgniarki w pierwszej kolejności?

1. APacjent z POChP ma SpO₂ 90% w spoczynku, co odpowiada jego zwykłym wartościom
2. BPacjent oddał 300 mL moczu w ciągu ostatnich 6 godzin
3. CPacjent prosi o dodatkową poduszkę
4. DPacjent dzień po operacji jamy brzusznej jest nowo niespokojny i ma tętno 124/min

Five days after starting heparin, a patient’s platelet count has fallen by more than half. What should the nurse suspect?

1. AHeparin-induced thrombocytopenia
2. BVitamin K deficiency
3. CAn expected effect that needs no action
4. DIron deficiency anemia

A patient reports pain of 8/10. Before giving the prescribed as-needed analgesic, what does the nurse do first?

1. ATell the patient to wait until the next scheduled dose is due in two hours
2. BAsk the nursing assistant to reposition the patient
3. CAssess the location, character and onset of the pain and the vital signs
4. DGive the strongest analgesic on the chart straight away

An adult choking on food is coughing forcefully and can speak a little. What should the nurse do?

1. AGive the patient water to wash the food down
2. BEncourage the patient to keep coughing and stay with them
3. CSweep the mouth blindly with a finger
4. DGive abdominal thrusts straight away until the food comes out

A patient with raised intracranial pressure is being nursed on the ward. Which position is best?

1. AFlat on the back with the head turned well over to one side
2. BHead of the bed at about 30 degrees with the neck straight
3. CHead down with the legs raised above the heart
4. DSitting forward with the chin on the chest