Ustalanie priorytetów i delegowanie: karta pracy z odpowiedziami

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Imię: ____________________   Data: ____________

1.Łatwy

A patient’s platelet count is 18,000/mm³ (18 × 10⁹/L). Which risk is the nursing priority?

  1. ABlood clots
  2. BBleeding
  3. CInfection
  4. DFluid overload
2.Łatwy

Which platelet count is within the normal adult range?

  1. A250,000/mm³ (250 × 10⁹/L)
  2. B40,000/mm³ (40 × 10⁹/L)
  3. C90,000/mm³ (90 × 10⁹/L)
  4. D700,000/mm³ (700 × 10⁹/L)
3.Łatwy

In most settings, which task is kept for the RN rather than assigned to an LPN/LVN?

  1. AGiving scheduled oral medications
  2. BMeasuring vital signs
  3. CGiving an IV push medication
  4. DReinforcing teaching already given
4.Średni

Using the Emergency Severity Index, which level fits a 70-year-old with chest pressure that suggests a heart attack, but normal vital signs?

  1. ALevel 2
  2. BLevel 5
  3. CLevel 4
  4. DLevel 1
5.Średni

An older adult asks for something to help them sleep. Which drug is most likely to cause confusion and falls in this age group?

  1. AA warm milky drink
  2. BMelatonin
  3. CAcetaminophen (paracetamol)
  4. DDiphenhydramine
6.Średni

A patient is raising his voice, pacing and clenching his fists. What should the nurse do first?

  1. ASpeak calmly, keep a safe distance and invite him to talk about what is wrong
  2. BTurn away and ignore the behavior
  3. CApply physical restraints at once
  4. DStand very close to him and tell him firmly and loudly to sit down and be quiet
7.Trudny

Two weeks after birth, a mother says she hears voices telling her the baby is evil. What is the priority?

  1. AReassure her that this is normal “baby blues”
  2. BLeave her alone with the baby to bond
  3. CAdvise more sleep and book a routine follow-up visit for next month
  4. DKeep the mother and baby safe and arrange urgent psychiatric care
8.Trudny

Two days after starting haloperidol, a patient suddenly develops painful neck twisting and the eyes roll upwards. What should the nurse anticipate?

  1. AAn anticholinergic drug, such as benztropine or procyclidine, as prescribed
  2. BNo action, because the spasm is a sign of improvement
  3. CA higher dose of haloperidol to calm the patient and stop the movements quickly
  4. DPhysical restraint until the spasm passes

Klucz odpowiedzi

  1. 1. B · Bleeding
  2. 2. A · 250,000/mm³ (250 × 10⁹/L)
  3. 3. C · Giving an IV push medication
  4. 4. A · Level 2
  5. 5. D · Diphenhydramine
  6. 6. A · Speak calmly, keep a safe distance and invite him to talk about what is wrong
  7. 7. D · Keep the mother and baby safe and arrange urgent psychiatric care
  8. 8. A · An anticholinergic drug, such as benztropine or procyclidine, as prescribed

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