Ustalanie priorytetów i delegowanie: karta pracy z odpowiedziami

Once a nursing assistant has accepted a delegated task, who is responsible for doing it correctly?

1. AThe patient receiving the care
2. BOnly the nurse manager
3. CNobody, once the task has been delegated
4. DThe assistant who accepted the task

What is the purpose of an early warning score, such as the National Early Warning Score (NEWS)?

1. ATo calculate the correct drug doses for each patient
2. BTo spot deterioration early from routine vital signs
3. CTo measure the patient’s satisfaction with care
4. DTo decide the patient’s diet

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

1. AAn SpO₂ of 78%
2. BSudden sharp chest pain
3. CNew confusion
4. DA barrel-shaped chest

Na oddziale chorób wewnętrznych, którego pacjenta powinna zobaczyć pielęgniarka w pierwszej kolejności?

1. APacjenta z depresją, który rozdał swoje rzeczy i ma plan samobójczy
2. BPacjenta z łagodnym napięciowym bólem głowy, który prosi o paracetamol
3. CPacjenta z nadciśnieniem, którego ciśnienie tętnicze wynosi 136/84 mmHg
4. DPacjenta, który prosi o pisemne informacje o jutrzejszym wypisie

Które zadanie RN najodpowiedniej deleguje LPN/LVN?

1. APrzeprowadzenie edukacji przed wypisem pacjenta, który właśnie rozpoczął insulinoterapię
2. BPrzeprowadzenie oceny przy przyjęciu nowego pacjenta
3. CRozpoczęcie przetaczania pierwszej jednostki koncentratu krwinek czerwonych
4. DZałożenie cewnika do pęcherza moczowego stabilnemu pacjentowi

Which patient is at the highest risk of falling?

1. AA 60-year-old admitted for chest pain that has since been ruled out by tests
2. BA 30-year-old after an appendectomy who walks with steady steps
3. CA 45-year-old with asthma who is alert and independent
4. DAn 84-year-old taking a diuretic who has fallen before and gets up at night

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

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. AThe patient is hyperventilating even more than before and needs calming
2. BRespiratory muscle fatigue with possible impending respiratory failure
3. CThe asthma is improving, because the PaCO₂ is now near normal
4. DA laboratory error that should be ignored