Ustalanie priorytetów i delegowanie: karta pracy z odpowiedziami

What does NPO mean on a patient’s care plan?

1. ANot for physical therapy
2. BNormal patient observations
3. CNo pain observed
4. DNothing by mouth

Which term describes a patient who is unable to understand and decide about their own care?

1. AExercising autonomy
2. BFully competent
3. CProviding valid informed consent
4. DLacking decision-making capacity

A patient’s platelet count is 18,000/mm³ (18 × 10⁹/L). Which risk is the nursing priority?

1. AFluid overload
2. BBlood clots
3. CBleeding
4. DInfection

A patient uses patient-controlled analgesia (PCA) after surgery. Which statement by a family member shows a need for further teaching?

1. A“The pump has limits set by the nurse so she cannot get too much at once.”
2. B“I will press the button for her while she is asleep so she stays comfortable.”
3. C“Only she should press the button when she needs pain relief.”
4. D“I will tell the nurse if she becomes very sleepy or hard to wake.”

Which patient on an addiction unit should the nurse see first?

1. ALast drink two days ago; now shaking, sweating, heart rate 124/min and seeing insects
2. BLast drink one week ago; asking about support groups
3. CLast drink this morning; asking when lunch will arrive
4. DIn recovery for a year; came to the clinic today for a routine check and a repeat prescription

A patient coughs hard after abdominal surgery, and loops of bowel appear through the opened wound. What does the nurse do first?

1. APush the bowel gently back into the abdomen with a gloved hand
2. BHelp the patient walk to the toilet to relieve abdominal pressure
3. CLeave the wound uncovered so the surgeon can see it on arrival
4. DCover the wound with sterile dressings moistened with saline

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. BSharp chest pain that is worse on deep breathing
3. CTrachea shifted away from the affected side, with low blood pressure
4. DMild breathlessness with reduced breath sounds on one side of the chest only

A patient is admitted with suspected meningococcal meningitis. Which precautions are needed until treatment has been given for long enough?

1. AContact precautions only
2. BDroplet precautions
3. CAirborne precautions
4. DStandard precautions only