Ustalanie priorytetów i delegowanie: karta pracy z odpowiedziami

Which symptoms suggest high blood glucose (hyperglycemia)?

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

Which capillary refill time is prolonged in an adult?

1. A2 seconds
2. B1 second
3. CLess than 1 second
4. D4 seconds

What is a “near miss” in patient safety?

1. AA planned treatment that did not work
2. BAn error that was caught before it reached the patient
3. CAn error that reached the patient and caused serious harm
4. DA complaint from a visitor

Pacjent, któremu właśnie powiedziano, że ma nowotwór, płacze, ale także kilkakrotnie wymiotował i nie może utrzymać płynów. Czym najpierw zajmuje się pielęgniarka?

1. AEdukacją na temat chemioterapii
2. BKontaktem z kapelanem szpitalnym
3. CWsparciem emocjonalnym w związku z rozpoznaniem
4. DWymiotami i utratą płynów

On a postpartum unit, which patient is the most appropriate to assign to an LPN/LVN?

1. AOne hour after birth with heavy bleeding and a boggy uterus
2. BA new admission transferred from the labor ward with a fever of 38,6 °C
3. CDay 1 after an uncomplicated vaginal birth, stable vital signs
4. DSevere pre-eclampsia on a magnesium sulfate infusion

Which infant with gastroenteritis should the nurse see first?

1. AMild diaper rash, otherwise playful
2. BTwo loose stools today, feeding well
3. CAlert, crying with tears, had a wet diaper an hour ago
4. DLethargic, sunken fontanel, no wet diaper for 8 hours

Which patient is the most appropriate to assign to an LPN/LVN?

1. AA patient with a long-standing tracheostomy who needs routine suctioning and care
2. BA patient who has just arrived from the emergency department with pneumonia and confusion
3. CA patient on a new IV medication that needs frequent titration
4. DA patient with a tracheostomy placed this morning who is coughing up blood

On an addiction unit, which patient should the nurse assess first?

1. AAsking for an extra blanket and a hot drink
2. BAnxious, with goose bumps, stomach cramps and loose stools
3. CYawning, with a runny nose and dilated pupils
4. DDrowsy with pinpoint pupils and a respiratory rate of 7/min