Ustalanie priorytetów i delegowanie: karta pracy z odpowiedziami

W delegowaniu, co oznacza „właściwa osoba”?

1. AOsoba wykonująca jest przeszkolona, kompetentna i uprawniona do wykonania zadania
2. BOsoba wykonująca jest tym członkiem personelu, który ma najmniej pracy
3. CPacjent zgodził się na opiekę ze strony osoby wykonującej
4. DOsoba wykonująca jest najstarszym stażem asystentem na dyżurze

Który problem pacjenta ma zasadniczo najwyższy priorytet?

1. ALęk
2. BNiedrożność dróg oddechowych
3. COstry ból
4. DDeficyt wiedzy o lekach

In Maslow’s hierarchy of needs, which level sits at the top?

1. ASelf-actualization
2. BEsteem
3. CSafety and security
4. DLove and belonging

A patient is admitted with diabetic ketoacidosis. Which prescribed treatment is usually started first?

1. AOral potassium tablets
2. BSubcutaneous long-acting insulin only, given once
3. CA high-carbohydrate meal
4. DIV isotonic fluid such as 0,9% sodium chloride

A patient’s peripheral IV site is swollen, pale and cool, and the infusion has slowed. What should the nurse do first?

1. AStop the infusion and remove the cannula
2. BApply a tight bandage over the site to reduce swelling
3. CFlush the cannula hard to clear the blockage
4. DIncrease the infusion rate to overcome the resistance

A patient has a reddened area on the sacrum that does not blanch when pressed. What is the priority action?

1. AKeep the patient lying on the back to protect the area
2. BRelieve pressure on the area by changing position regularly
3. CApply a heat pad to the area to increase circulation
4. DMassage the area firmly to improve the blood flow to the skin

A patient with anorexia nervosa is admitted. Which finding is the priority?

1. AHeart rate 38/min and potassium 2,8 mEq/L
2. BRefuses to eat in front of other people
3. CHas fine, downy hair on her arms
4. DSays she feels fat although she is very thin

Which patient with cirrhosis should the nurse see first?

1. ALong-standing jaundice and itchy skin, asking for cream
2. BLarge ascites that is unchanged from yesterday
3. CVomiting bright red blood, heart rate 120/min
4. DWants to talk about stopping drinking alcohol for good