Ustalanie priorytetów i delegowanie: karta pracy z odpowiedziami

Which patient need belongs to the love and belonging level of Maslow’s hierarchy?

1. AWanting praise for progress in rehabilitation
2. BNeeding the call light within reach
3. CNeeding pain relief after surgery
4. DWanting family members to visit

Where is intramuscular epinephrine usually injected for anaphylaxis?

1. AThe outer middle thigh
2. BThe abdomen under the skin
3. CThe buttock
4. DA vein in the hand

When is the Apgar score usually assessed?

1. AAt the first postnatal clinic visit
2. BOnly at 24 hours after birth
3. CAt 1 and 5 minutes after birth
4. DBefore the baby is born

A patient has a reddened area on the sacrum that does not blanch when pressed. What is the priority action?

1. AApply a heat pad to the area to increase circulation
2. BMassage the area firmly to improve the blood flow to the skin
3. CKeep the patient lying on the back to protect the area
4. DRelieve pressure on the area by changing position regularly

A patient receiving IV magnesium sulfate for pre-eclampsia has absent knee reflexes and a respiratory rate of 10/min. What does the nurse do first?

1. AGive oral fluids to help clear the drug faster
2. BTurn the patient onto her back and recheck later
3. CIncrease the infusion to prevent a seizure
4. DStop the magnesium infusion and call for help

Which two patients can most safely share a room?

1. AA patient with chickenpox and a patient on chemotherapy
2. BTwo patients who both have C. difficile infection
3. CA patient with MRSA in a wound and a patient after surgery
4. DA patient with influenza and a patient with COPD

Pacjent z niewydolnością serca ma duszność i trzeszczenia w obu płucach. Która kolejność działań jest prawidłowa?

1. ANajpierw zważyć pacjenta, potem ponownie ocenić oddychanie za cztery godziny
2. BUłożyć pacjenta płasko do odpoczynku, następnie rozpocząć dożylne płyny podtrzymujące
3. CPosadzić, podać tlen zgodnie ze zleceniem, następnie wezwać lekarza
4. DNajpierw podać zaplanowane leki doustne, potem posadzić pacjenta

Which finding most suggests a tension pneumothorax rather than a simple pneumothorax?

1. AA small air leak seen on a routine chest X-ray
2. BMild breathlessness with reduced breath sounds on one side of the chest only
3. CTrachea shifted away from the affected side, with low blood pressure
4. DSharp chest pain that is worse on deep breathing