Ustalanie priorytetów i delegowanie: karta pracy z odpowiedziami

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Imię: ____________________   Data: ____________

1.Łatwy

Which symptoms are classic signs of digoxin toxicity?

  1. ANausea, poor appetite and yellow-green visual halos
  2. BHair loss and weight gain
  3. CA rash, high fever and swollen lymph nodes in the neck
  4. DHigh blood sugar and increased thirst
2.Łatwy

Which patient needs a single room with airborne precautions?

  1. AA patient with type 2 diabetes
  2. BA patient with a fractured femur
  3. CA patient with suspected pulmonary tuberculosis
  4. DA patient with a urinary tract infection and a catheter
3.Łatwy

What is a transient ischemic attack (TIA)?

  1. AA heart attack that affects the brain
  2. BA stroke that leaves permanent weakness or paralysis on one side of the body
  3. CBrief stroke-like symptoms that resolve, warning of a possible stroke
  4. DA type of migraine with no link to stroke
4.Średni

A young adult has just started an SSRI antidepressant for major depression. What should the nurse monitor most closely in the first weeks?

  1. AWeight loss from too much appetite
  2. BHair growth and skin color
  3. CRising blood glucose levels
  4. DThoughts of suicide or self-harm
5.Średni

A patient taking lisinopril develops swelling of the lips and tongue. What should the nurse do first?

  1. AApply a cold pack and recheck in an hour
  2. BTell the patient this is a common, harmless effect
  3. CAssess the airway and call for urgent help
  4. DGive the next dose of lisinopril with water
6.Średni

A patient at 35 weeks of pregnancy with high blood pressure calls the clinic. Which symptom needs urgent assessment?

  1. AMild ankle swelling at the end of the day
  2. BBackache after a long walk
  3. CNeeding to pass urine more often
  4. DA severe headache with blurred vision
7.Trudny

A trauma patient has an open leg fracture, absent breath sounds on one side, a trachea shifted to the other side and a falling blood pressure. Which problem is the priority?

  1. AThe risk of wound infection
  2. BThe suspected tension pneumothorax
  3. CThe open fracture of the leg
  4. DThe pain from the fracture
8.Trudny

A patient with Guillain-Barré syndrome has weakness that is spreading up from the legs. Which assessment has the highest priority?

  1. ASkin condition over the heels
  2. BBreathing strength, such as vital capacity and the ability to cough
  3. CMuscle strength in the feet and ankles at the start of each morning
  4. DThe patient’s mood and coping

Klucz odpowiedzi

  1. 1. A · Nausea, poor appetite and yellow-green visual halos
  2. 2. C · A patient with suspected pulmonary tuberculosis
  3. 3. C · Brief stroke-like symptoms that resolve, warning of a possible stroke
  4. 4. D · Thoughts of suicide or self-harm
  5. 5. C · Assess the airway and call for urgent help
  6. 6. D · A severe headache with blurred vision
  7. 7. B · The suspected tension pneumothorax
  8. 8. B · Breathing strength, such as vital capacity and the ability to cough

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