Ustalanie priorytetów i delegowanie: karta pracy z odpowiedziami

Which blood pressure in an adult suggests hypotension?

1. A118/76 mmHg
2. B110/70 mmHg
3. C82/48 mmHg
4. D126/82 mmHg

Which resting heart rate is normal for a newborn?

1. A60/min
2. B80/min
3. C210/min
4. D140/min

W schemacie ABC służącym do ustalania priorytetów pielęgniarskich, która potrzeba jest zaspokajana w pierwszej kolejności?

1. AOddychanie (Breathing)
2. BDrożność dróg oddechowych (Airway)
3. CKrążenie (Circulation)
4. DBól

A conscious patient with hypoglycemia drank juice 15 minutes ago. The glucose is now 62 mg/dL (3,4 mmol/L). What should the nurse do next?

1. ARecord the result and recheck the glucose at the usual time before the evening meal
2. BGive the next scheduled dose of rapid-acting insulin with the meal
3. CGive another serving of fast-acting carbohydrate and recheck in 15 minutes
4. DWait another hour, because juice can take a long time to work

A patient taking clozapine reports a sore throat and fever. What is the priority action?

1. AOffer throat lozenges and continue the usual dose
2. BHold the dose and report so the white cell count can be checked
3. CIncrease the dose because the symptoms suggest a relapse
4. DAdvise the patient to gargle with warm salt water and rest in bed

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

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

Two call lights go on at the same time. One patient has pain of 7/10 after surgery. The other is a confused patient at high risk of falls who is climbing out of bed alone. Who does the nurse go to first?

1. AWhichever patient’s room is closer to the station
2. BThe patient whose call light went on first
3. CThe confused patient climbing out of bed
4. DThe patient in pain after surgery

A patient is bleeding internally after a fall. Which finding is usually an early sign of hypovolemic shock?

1. ARestlessness and a rising heart rate while the blood pressure is still normal
2. BLoss of consciousness with gasping breaths
3. CA very low blood pressure with fixed, dilated pupils
4. DA slow heart rate with warm, dry, flushed skin and a normal blood pressure throughout