Ustalanie priorytetów i delegowanie: karta pracy z odpowiedziami

After chemotherapy, a patient has a very low neutrophil count. Which risk is the nursing priority?

1. AHypertension
2. BBleeding
3. CDehydration
4. DInfection

Which finding meets the usual definition of orthostatic hypotension?

1. ABlood pressure is the same lying and standing
2. BHeart rate falls by 5/min after lying down
3. CSystolic pressure rises by 20 mmHg or more within 3 minutes of standing up
4. DSystolic pressure falls by 20 mmHg or more within 3 minutes of standing

Która potrzeba pacjenta należy do poziomu bezpieczeństwa w hierarchii Maslowa?

1. APrzyjaźń
2. BOchrona przed upadkami
3. CTlen
4. DUznanie ze strony innych

A patient’s chest tube becomes disconnected from the drainage system. What should the nurse do first?

1. AWait for the provider to arrive before doing anything else
2. BClamp the tube for the rest of the shift
3. CPlace the end of the tube in a bottle of sterile water
4. DRemove the tube and cover the site

Przy zatrzymaniu krążenia na oddziale, które działanie następuje pierwsze po stwierdzeniu, że pacjent nie reaguje i nie oddycha prawidłowo?

1. AZnaleźć kartę pacjenta, aby sprawdzić status resuscytacji, zanim wezwie się pomoc
2. BZmierzyć ciśnienie tętnicze
3. CWezwać pomoc i rozpocząć uciśnięcia klatki piersiowej
4. DWykonać dwa oddechy ratunkowe, a następnie przez minutę sprawdzać tętno

A patient has a blood pressure of 210/120 mmHg. Which finding would make this a hypertensive emergency?

1. AMild anxiety about the high reading on the monitor
2. BNew chest pain or confusion suggesting organ damage
3. CA history of high blood pressure for ten years
4. DForgetting to take the blood pressure tablet this morning

After a head injury, a patient passes large amounts of very dilute urine, is thirsty and has a rising serum sodium. Which condition is most likely?

1. ASIADH
2. BAcute kidney injury with oliguria
3. CDiabetes insipidus
4. DDiabetic ketoacidosis

A patient’s serum potassium is 6,1 mEq/L. Which of the patient’s medications should the nurse question first?

1. ASpironolactone
2. BFurosemide
3. COmeprazole
4. DHydrochlorothiazide