Ustalanie priorytetów i delegowanie: karta pracy z odpowiedziami

Which finding in an infant is a sign of breathing difficulty?

1. AA strong cry
2. BWet diapers every few hours
3. CPink, warm hands and feet
4. DNasal flaring

Which symptoms suggest high blood glucose (hyperglycemia)?

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

Which patient is unstable?

1. AA patient with a new irregular pulse who says they feel dizzy
2. BA patient with long-standing arthritis pain of 3/10
3. CA patient with a healing leg wound and normal vital signs this morning
4. DA patient waiting for a planned hip X-ray

A nurse teaches a patient who uses home oxygen. Which statement shows a need for further teaching?

1. A“I will keep the oxygen away from the gas stove.”
2. B“My husband can smoke in my room if the window is open.”
3. C“I will not use oil-based creams on my face.”
4. D“I will put up no-smoking signs at the front door and in my room.”

A nurse teaches a patient with COPD pursed-lip breathing. Which statement shows a need for further teaching?

1. A“I will breathe in through my mouth and out quickly through my nose.”
2. B“I will make my breath out about twice as long as my breath in.”
3. C“I will breathe out slowly through pursed lips.”
4. D“I will breathe in slowly through my nose.”

A child with fever and headache develops a purple rash that does not fade when pressed with a glass. What should the nurse do?

1. ATreat it as an emergency and escalate at once
2. BGive acetaminophen (paracetamol) and reassess in four hours
3. CAdvise the family to see their doctor next week
4. DApply a soothing cream to the rash

Które przydzielenie pacjenta LPN/LVN jest najodpowiedniejsze?

1. APacjenta, który wymaga edukacji przed wypisem w związku z nowo rozpoczętą warfaryną
2. BPacjenta przeniesionego z oddziału intensywnej terapii godzinę temu
3. CPacjenta z nowym migotaniem przedsionków, który właśnie rozpoczął dożylny wlew diltiazemu
4. DPacjenta ze stabilną POChP, który wymaga zaplanowanych nebulizacji leków rozszerzających oskrzela i leków doustnych

Which patient with cirrhosis should the nurse see first?

1. ALarge ascites that is unchanged from yesterday
2. BVomiting bright red blood, heart rate 120/min
3. CWants to talk about stopping drinking alcohol for good
4. DLong-standing jaundice and itchy skin, asking for cream