Ustalanie priorytetów i delegowanie: karta pracy z odpowiedziami

Który objaw jest problemem dróg oddechowych?

1. ADrobne trzeszczenia słyszalne u podstawy obu płuc podczas wdechu
2. BBól brzucha oceniany na 8/10
3. CObrzęk języka i warg z chrypką
4. DSłabe, nitkowate tętno na tętnicy promieniowej

W delegowaniu, co oznacza „właściwy nadzór i ocena”?

1. APielęgniarka oddziałowa zatwierdza wszystkie delegowane zadania na koniec dyżuru
2. BPielęgniarka obserwuje każdą sekundę każdego delegowanego zadania
3. CPielęgniarka monitoruje, interweniuje w razie potrzeby i sprawdza wynik
4. DOsoba wykonująca sama sprawdza i zatwierdza swoją pracę po fakcie

What is the normal range for arterial bicarbonate (HCO₃⁻)?

1. A35–45 mEq/L
2. B22–26 mEq/L
3. C3,5–5,0 mEq/L
4. D80–100 mEq/L

A patient with mild dysphagia after a stroke is eating. Which technique helps make swallowing safer?

1. ASitting upright with the chin tucked down while swallowing
2. BTalking while eating to stay alert
3. CLying flat with the head tilted back
4. DDrinking thin fluids quickly through a straw between bites

A patient speaks little English, and the nurse needs to explain a new procedure. What is the best way to communicate?

1. AUse a professional medical interpreter
2. BSpeak loudly and slowly in English
3. CAsk the patient’s 10-year-old child to translate
4. DUse hand gestures and hope the patient understands

A nurse teaches a patient to use an incentive spirometer. Which statement shows a need for further teaching?

1. A“I will blow into it as hard and fast as I can.”
2. B“I will breathe in slowly and deeply through the mouthpiece.”
3. C“I will try to hold my breath for a few seconds at the top.”
4. D“I will use it several times every hour while awake.”

Four laboratory results come back at once. Which one should the nurse report first?

1. AGlucose 180 mg/dL after a meal in a patient with diabetes
2. BHemoglobin 6,5 g/dL (65 g/L) in a patient with a GI bleed
3. CCreatinine 1,3 mg/dL in an older adult, unchanged from last week
4. DPotassium 3,4 mEq/L in a patient on a diuretic

A patient admitted with suspected appendicitis says the pain suddenly got better, but now the abdomen is rigid and the heart rate is rising. What does this suggest?

1. AThe appendicitis is getting better without surgery
2. BThe appendix may have ruptured, causing peritonitis
3. CThe patient’s analgesic has finally started to work
4. DThe pain has moved to a different, harmless place