Ustalanie priorytetów i delegowanie: karta pracy z odpowiedziami

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Imię: ____________________   Data: ____________

1.Łatwy

What is the main purpose of a rapid response team?

  1. ATo handle complaints from patients and families
  2. BTo review medication errors and falls after they have happened on the unit
  3. CTo assess and treat a deteriorating patient before an arrest happens
  4. DTo transport stable patients between hospital units
2.Łatwy

Which blood pressure in an adult suggests hypotension?

  1. A118/76 mmHg
  2. B126/82 mmHg
  3. C110/70 mmHg
  4. D82/48 mmHg
3.Łatwy

Which serum lithium level suggests toxicity?

  1. A1,0 mEq/L
  2. B0,7 mEq/L
  3. C0,8 mEq/L
  4. D2,2 mEq/L
4.Średni

During an IV vancomycin infusion, a patient develops flushing and itching of the face and neck. What should the nurse do first?

  1. AApply a warm compress to the face and neck
  2. BIgnore it, because flushing is always harmless and passes
  3. CStop or slow the infusion and inform the provider
  4. DSpeed up the infusion to finish it quickly
5.Średni

A patient with a head injury is being monitored. Which set of findings suggests rising intracranial pressure?

  1. ARising systolic pressure, slow pulse and irregular breathing
  2. BNormal blood pressure, normal pulse and clear speech
  3. CLow temperature, fast breathing and a strong appetite
  4. DFalling blood pressure, a fast pulse and warm, flushed dry skin
6.Średni

A nurse teaches a patient to use an incentive spirometer. Which statement shows a need for further teaching?

  1. A“I will breathe in slowly and deeply through the mouthpiece.”
  2. B“I will try to hold my breath for a few seconds at the top.”
  3. C“I will blow into it as hard and fast as I can.”
  4. D“I will use it several times every hour while awake.”
7.Trudny

A patient with suspected sepsis has four prescribed orders. Which should usually be done first?

  1. ATake blood cultures
  2. BArrange a chest X-ray for later today
  3. CRepeat the lactate in six hours
  4. DGive the IV antibiotic
8.Trudny

Using ESI, a stable adult with abdominal pain will need blood tests and a CT scan, but has a heart rate of 130/min. Which statement is correct?

  1. AVital signs never change the ESI level
  2. BThe patient is level 5 because the pain is not severe
  3. CThe patient is level 4 because the blood tests and the scan count as one resource
  4. DThe nurse should consider level 2 because of the danger-zone vital sign

Klucz odpowiedzi

  1. 1. C · To assess and treat a deteriorating patient before an arrest happens
  2. 2. D · 82/48 mmHg
  3. 3. D · 2,2 mEq/L
  4. 4. C · Stop or slow the infusion and inform the provider
  5. 5. A · Rising systolic pressure, slow pulse and irregular breathing
  6. 6. C · “I will blow into it as hard and fast as I can.”
  7. 7. A · Take blood cultures
  8. 8. D · The nurse should consider level 2 because of the danger-zone vital sign

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