Ustalanie priorytetów i delegowanie: karta pracy z odpowiedziami

Which value is the usual target INR for a patient taking warfarin for atrial fibrillation?

1. A4,0–5,0
2. B0,5–1,0
3. C6,0–7,0
4. D2,0–3,0

W schemacie ABC, który problem dotyczy krążenia?

1. AStridor
2. BCzęstość oddechów 32/min
3. CLęk
4. DNiekontrolowane krwawienie

Which task can the RN usually assign to an LPN/LVN?

1. ADoing the admission assessment of a new patient
2. BWriting the patient’s initial plan of care
3. CTriaging a new arrival in the emergency department
4. DChanging the dressing on a stable, healing wound

A patient speaks little English, and the nurse needs to explain a new procedure. What is the best way to communicate?

1. AUse a professional medical interpreter
2. BAsk the patient’s 10-year-old child to translate
3. CUse hand gestures and hope the patient understands
4. DSpeak loudly and slowly in English

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

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

A parent of a child with influenza talks with the nurse. Which statement shows a need for further teaching?

1. A“I will call if my child has trouble breathing.”
2. B“I will give my child aspirin to bring the fever down.”
3. C“I will keep my child home from school and away from others while unwell.”
4. D“I will give my child plenty of fluids.”

Pacjent po dużej operacji ma diurezę 15 mL/h od dwóch godzin, tętno 115/min i zimne dłonie. Co powinna zrobić pielęgniarka w pierwszej kolejności?

1. AZachęcić pacjenta do picia większej ilości wody i sprawdzić później
2. BOcenić objawy wstrząsu, takie jak krwawienie, i zgłosić sprawę dalej
3. CPoczekać kolejne dwie godziny, aby zobaczyć, czy diureza się poprawi
4. DPrzepłukać cewnik i sprawdzić diurezę jutro rano

A child who had a tonsillectomy this morning is swallowing again and again while asleep. What should the nurse suspect?

1. AHunger after fasting for surgery
2. BBleeding from the operation site
3. CA sore throat from the breathing tube
4. DNormal swallowing during sleep