Ustalanie priorytetów i delegowanie: karta pracy z odpowiedziami

Which laboratory finding is expected in a patient with chronic kidney disease who receives dialysis?

1. AA raised serum creatinine
2. BA platelet count of 900,000/mm³
3. CA low serum creatinine
4. DA serum sodium of 160 mEq/L

How many levels does the Emergency Severity Index have?

1. AThree
2. BFive
3. CSix
4. DFour

In delegation, what does supervision mean?

1. ALeaving the delegate to finish without any contact
2. BDoing every delegated task yourself to make sure that it is done right
3. CGuidance, follow-up and evaluation of the delegated task by the nurse
4. DSigning the delegate’s documentation without checking it

One hour after a vaginal birth, the nurse finds a soft, boggy uterus and heavy bleeding. What is the first action?

1. AOffer a meal and fluids
2. BApply an ice pack to the perineum
3. CMassage the fundus
4. DEncourage the patient to rest quietly

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

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

A patient is booked for a CT scan with iodinated contrast. Which of the patient’s medications may need to be held according to protocol?

1. AMetformin
2. BOmeprazole
3. CLevothyroxine
4. DAcetaminophen (paracetamol)

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

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

A 2-month-old infant has a spiral fracture of the femur. The parents say the baby rolled off the sofa. What should the nurse recognize?

1. AThe injury does not fit the infant’s development, so possible abuse must be reported
2. BNo further action is needed once the fracture is treated
3. CA spiral fracture in an infant is always caused by birth trauma
4. DInfants of this age often roll off furniture and break bones in this way