Ustalanie priorytetów i delegowanie: karta pracy z odpowiedziami

Which statement about the nursing process is correct when setting priorities?

1. AAssessment comes first, because the other steps depend on it
2. BImplementation comes first, so care starts quickly
3. CEvaluation comes first, before any patient data have been collected
4. DPlanning comes first, before seeing the patient

W schemacie ABC, który problem dotyczy krążenia?

1. ALęk
2. BNiekontrolowane krwawienie
3. CCzęstość oddechów 32/min
4. DStridor

Which type of stroke is the most common?

1. ASubarachnoid hemorrhage
2. BIschemic stroke
3. CHemorrhagic stroke
4. DVenous sinus thrombosis

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

1. AIron deficiency anemia
2. BVitamin K deficiency
3. CHeparin-induced thrombocytopenia
4. DAn expected effect that needs no action

A patient with severe neutropenia needs a room. Which roommate is the safest choice?

1. AA patient with C. difficile diarrhea
2. BA patient after a knee replacement with no signs of infection
3. CA patient with an infected, draining leg wound
4. DA patient with influenza

During labor, the nurse sees the umbilical cord in the vagina after the membranes rupture. What is the first action?

1. ARelieve pressure on the cord by lifting the presenting part with a gloved hand
2. BAsk the patient to walk around the room to bring the baby lower and speed up labor
3. CWait for the next contraction before acting
4. DPush the cord back into the uterus

Six hours after surgery, a patient has not passed urine, feels the urge to go and has a firm swelling above the pubic bone. What is the most likely problem?

1. AUrinary retention
2. BAcute kidney injury with no urine made
3. CDehydration from fasting before surgery
4. DA normal effect of the anesthetic

A competent adult patient refuses a blood transfusion for religious reasons. What should the nurse do?

1. ATell the patient that refusing treatment is not allowed in hospital
2. BGive the transfusion while the patient is asleep, because saving their life comes first
3. CAsk the family to persuade the patient until they agree
4. DRespect the refusal, check the patient understands the risks and inform the provider