Ustalanie priorytetów i delegowanie: karta pracy z odpowiedziami

Które zadanie można delegować personelowi pomocniczemu bez uprawnień?

1. APodjęcie decyzji, czy zgłosić dany objaw lekarzowi
2. BOcenę odleżyny
3. CEdukację pacjenta na temat diety ubogosodowej
4. DPomiar i zapisywanie diurezy pacjenta

A patient has a Glasgow Coma Scale score of 8. What is the main concern?

1. AThe patient can safely eat and drink without help
2. BThe patient only has a mild headache
3. CThe patient is fully alert and oriented
4. DThe patient may not be able to protect the airway

Which task is appropriate to delegate to a nursing assistant?

1. AFeeding a patient with newly diagnosed dysphagia after a stroke
2. BGiving a stable patient their oral medications
3. CFeeding a stable patient who has no swallowing problems
4. DAssessing a pressure injury on the sacrum

A patient is receiving a blood transfusion. Which task can the nurse delegate to a nursing assistant?

1. AMeasuring and reporting vital signs at the times set by the nurse
2. BDeciding whether to stop the transfusion if the patient has chills
3. CAssessing the patient for signs of a transfusion reaction
4. DStarting the transfusion once the blood arrives

A patient on hemodialysis has an arteriovenous fistula in the left arm. Which instruction should the nurse give the nursing assistant?

1. AKeep the left arm wrapped tightly in a bandage at night
2. BHelp the patient carry shopping bags on the left arm
3. CDo not measure blood pressure on the left arm
4. DMeasure blood pressure on the left arm only, every 4 hours

Które stwierdzenie świadczy o prawidłowym rozumieniu odpowiedzialności w delegowaniu?

1. A„Gdy już deleguję zadanie, przestaje być moją sprawą.”
2. B„Pozostaję odpowiedzialna za decyzję o delegowaniu i za sprawdzenie wyniku.”
3. C„Asystent pielęgniarski odpowiada za to, czy zadanie słusznie delegowano.”
4. D„Jeśli zadanie pójdzie źle, odpowiada tylko asystent.”

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 asthma is improving, because the PaCO₂ is now near normal
3. CThe patient is hyperventilating even more than before and needs calming
4. DRespiratory muscle fatigue with possible impending respiratory failure

An infant is choking and cannot cry or breathe. Which technique is correct?

1. AA blind finger sweep of the mouth
2. BHolding the infant upside down by the feet
3. CBack blows and chest thrusts
4. DAbdominal thrusts, as in adults