Ustalanie priorytetów i delegowanie: karta pracy z odpowiedziami

What is a transient ischemic attack (TIA)?

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

Który objaw jest problemem dróg oddechowych?

1. ASłabe, nitkowate tętno na tętnicy promieniowej
2. BBól brzucha oceniany na 8/10
3. CObrzęk języka i warg z chrypką
4. DDrobne trzeszczenia słyszalne u podstawy obu płuc podczas wdechu

When is a patient most ready to learn about self-care?

1. AWhen pain is controlled and basic physical needs are met
2. BDuring a period of acute breathlessness
3. CWhile in severe pain, so the lesson feels important
4. DStraight after hearing bad news about a serious new diagnosis

Pielęgniarka znajduje pacjenta na podłodze obok łóżka. Jakie jest pierwsze działanie?

1. AWypełnić zgłoszenie zdarzenia, gdy szczegóły są świeże
2. BZadzwonić do rodziny pacjenta i wyjaśnić, co się stało
3. COd razu z pomocą koleżanki pomóc pacjentowi wrócić do łóżka
4. DOcenić świadomość pacjenta i obrażenia przed jego przemieszczeniem

A patient is raising his voice, pacing and clenching his fists. What should the nurse do first?

1. AStand very close to him and tell him firmly and loudly to sit down and be quiet
2. BSpeak calmly, keep a safe distance and invite him to talk about what is wrong
3. CTurn away and ignore the behavior
4. DApply physical restraints at once

Straight after birth, what is the first priority for a healthy-looking newborn?

1. AGive the vitamin K injection before anything else is done
2. BGive the first bath to remove the blood and vernix
3. CWeigh and measure the baby on the scale
4. DDry and warm the baby while checking that it is breathing

At 08:00 a nurse has four tasks. Which order is best?

1. AGive routine medications, check the patient with a falling SpO₂, update care plans, give insulin with breakfast
2. BCheck the patient with a falling SpO₂, give insulin with breakfast, give routine medications, update care plans
3. CGive insulin with breakfast, update care plans, check the patient with a falling SpO₂, give routine medications
4. DUpdate care plans, give insulin with breakfast, give routine medications, check the patient with a falling SpO₂

After handover on a medical unit, which patient should the nurse see first?

1. ADeep vein thrombosis on a heparin infusion, aPTT in the target range
2. BPneumonia on 2 L/min oxygen, SpO₂ 93%, talking in full sentences
3. CDay 2 after a hernia repair, pain 6/10, oral analgesic due in 20 minutes, wants it now
4. DNew atrial fibrillation, heart rate 150/min, blood pressure 86/50 mmHg, dizzy