Ustalanie priorytetów i delegowanie: karta pracy z odpowiedziami

Who is responsible for developing the nursing plan of care?

1. AThe registered nurse
2. BThe ward clerk
3. CThe LPN/LVN alone
4. DThe nursing assistant

Does asking a patient directly about suicidal thoughts increase their risk?

1. AYes; asking about it may give the patient the idea
2. BOnly if the patient is over 65 years old
3. COnly when the question is asked in writing
4. DNo; asking directly is safe and helps assess the risk

Which pain scale is designed for infants and young children who cannot describe their pain?

1. AThe FLACC scale
2. BThe Morse Fall Scale
3. CThe Glasgow Coma Scale
4. DThe Braden Scale

When making patient assignments, what should the charge nurse consider first?

1. AGiving the newest staff the most complex patients
2. BMatching each patient’s needs to staff competence
3. CLetting staff choose the patients they prefer
4. DGiving each nurse patients in rooms next to each other

A patient on a nasal cannula at 6 L/min still has a low SpO₂. What should the nurse do?

1. ATurn the nasal cannula up to 15 L/min
2. BRecheck the SpO₂ at the next routine set of observations in four hours
3. CReport it, because a different oxygen device is likely to be needed
4. DRemove the oxygen to see if the SpO₂ changes

Którego pacjenta pielęgniarka powinna zobaczyć jako pierwszego po raporcie?

1. APacjenta, który chce pomocy w prysznicu, zanim przyjdą goście
2. BPacjenta ze świeżym opatrunkiem gipsowym, który mówi, że stopa jest drętwa, a palce zimne
3. CPacjenta z chorobą zwyrodnieniową stawów, który zgłasza poranną sztywność każdego ranka
4. DPacjenta przyjmującego lek moczopędny, który oddał 400 mL moczu od godz. 08:00

A patient with diabetic ketoacidosis is about to start an IV insulin infusion. The serum potassium is 3,0 mEq/L. What should the nurse do?

1. AStart the insulin at once, because the glucose is the bigger problem
2. BIgnore the result, since potassium is always high in this condition and will correct itself
3. CGive the insulin as a fast bolus to bring the potassium up
4. DReport the result before starting, because insulin will push potassium even lower

A patient has a heart rate of 38/min, feels dizzy and has a blood pressure of 80/50 mmHg. Which drug is usually given first, as prescribed?

1. AMetoprolol
2. BDigoxin
3. CDiltiazem
4. DAtropine