Ustalanie priorytetów i delegowanie: karta pracy z odpowiedziami

A conscious adult with hypoglycemia can swallow safely. What should the nurse give first?

1. AA large protein meal
2. BIV glucose through a new cannula as the first choice for every patient
3. CThe next dose of insulin
4. DA fast-acting carbohydrate by mouth, such as glucose tablets or juice

Który poziom w hierarchii Maslowa następuje bezpośrednio po potrzebach fizjologicznych?

1. ASamorealizacja
2. BBezpieczeństwo
3. CMiłość i przynależność
4. DSzacunek i uznanie

Zadanie, które wymaga oceny, osądu pielęgniarskiego lub ewaluacji, powinno być:

1. AZawsze zdelegowane LPN/LVN
2. BWykonane przez pielęgniarkę dyplomowaną (RN)
3. CZdelegowane najbardziej doświadczonemu asystentowi pielęgniarskiemu
4. DPrzekazane rodzinie pacjenta

A patient on a continuous IV heparin infusion has new black, tarry stools and an aPTT well above the target range. What should the nurse do first?

1. AStop the heparin infusion and inform the provider
2. BGive a dose of vitamin K by mouth
3. CCheck the pump rate and leave the infusion running
4. DOffer an iron-rich meal to replace the lost blood

On a pediatric unit, which child does the nurse assess first?

1. AA child with asthma who is now quiet with very little air movement
2. BA child with croup who has a barking cough but no stridor at rest
3. CA child with a temperature of 38,2 °C after vaccination
4. DA child in a new arm cast with pink, warm fingers and pain of 5/10

A nurse teaches a patient who uses home oxygen. Which statement shows a need for further teaching?

1. A“My husband can smoke in my room if the window is open.”
2. B“I will not use oil-based creams on my face.”
3. C“I will keep the oxygen away from the gas stove.”
4. D“I will put up no-smoking signs at the front door and in my room.”

During birth, the baby’s head delivers but the shoulders do not follow. What should the nurse do first?

1. APush firmly on the top of the uterus (fundal pressure)
2. BPull hard on the baby’s head and neck to free the trapped shoulders quickly
3. CHelp with the McRoberts position and give suprapubic pressure as directed
4. DAsk the mother to stop pushing and wait an hour

A patient with a severe asthma attack had a PaCO₂ of 32 mmHg (4,3 kPa) on arrival. An hour later it is 46 mmHg (6,1 kPa), and the patient seems tired. What does this suggest?

1. AA laboratory error that should be ignored
2. BThe patient is hyperventilating even more than before and needs calming
3. CThe asthma is improving, because the PaCO₂ is now near normal
4. DRespiratory muscle fatigue with possible impending respiratory failure