Ustalanie priorytetów i delegowanie: karta pracy z odpowiedziami

Which finding is expected in a patient with long-standing COPD?

1. ANew confusion
2. BA barrel-shaped chest
3. CSudden sharp chest pain
4. DAn SpO₂ of 78%

In a patient with sepsis, what does a raised blood lactate level suggest?

1. AThe patient has eaten recently
2. BThe liver is making too much bile
3. CThe kidneys are working harder than usual
4. DThe tissues are not getting enough oxygen

Which symptoms are classic signs of digoxin toxicity?

1. AHigh blood sugar and increased thirst
2. BA rash, high fever and swollen lymph nodes in the neck
3. CNausea, poor appetite and yellow-green visual halos
4. DHair loss and weight gain

Stabilny dorosły z prawidłowymi parametrami życiowymi ma ranę ciętą dłoni wymagającą szwów i niczego więcej. Który poziom ESI pasuje?

1. APoziom 5
2. BPoziom 4
3. CPoziom 3
4. DPoziom 2

On a pediatric unit, which child does the nurse assess first?

1. AA child with croup who has a barking cough but no stridor at rest
2. BA child in a new arm cast with pink, warm fingers and pain of 5/10
3. CA child with a temperature of 38,2 °C after vaccination
4. DA child with asthma who is now quiet with very little air movement

Monitor kardiologiczny pokazuje u pacjenta linię płaską (asystolię), ale pacjent siedzi i rozmawia. Co robi pielęgniarka w pierwszej kolejności?

1. APrzygotowuje defibrylator do wykonania wstrząsu
2. BSprawdza pacjenta i przewody elektrod
3. CNatychmiast rozpoczyna uciskanie klatki piersiowej
4. DWzywa zespół resuscytacyjny

A patient has a new spinal cord injury at C4. Which assessment is the priority?

1. AAbility to feed themselves
2. BSkin over the sacrum and heels
3. CBowel sounds in all four abdominal quadrants
4. DBreathing effort and ability to cough

Which patient needs airborne precautions rather than droplet precautions?

1. AA teenager with mumps
2. BA child with pertussis (whooping cough)
3. CAn adult with influenza
4. DA child with chickenpox (varicella)