Ustalanie priorytetów i delegowanie: karta pracy z odpowiedziami

Which task can the RN usually assign to an LPN/LVN?

1. ADoing the admission assessment of a new patient
2. BWriting the patient’s initial plan of care
3. CTriaging a new arrival in the emergency department
4. DChanging the dressing on a stable, healing wound

Which statement about the nursing process is correct when setting priorities?

1. AAssessment comes first, because the other steps depend on it
2. BEvaluation comes first, before any patient data have been collected
3. CImplementation comes first, so care starts quickly
4. DPlanning comes first, before seeing the patient

In most settings, which task is kept for the RN rather than assigned to an LPN/LVN?

1. AReinforcing teaching already given
2. BGiving scheduled oral medications
3. CMeasuring vital signs
4. DGiving an IV push medication

Pielęgniarka prosi asystenta pielęgniarskiego o użycie podnośnika mechanicznego. Asystent mówi, że nigdy nie był przeszkolony w jego obsłudze. Którego „właściwego” elementu delegowania dotyczyłoby naruszenie, gdyby pielęgniarka nalegała?

1. AWłaściwego nadzoru i oceny
2. BWłaściwego zadania
3. CWłaściwej osoby
4. DWłaściwych wskazówek i komunikacji

A nurse sees a nursing assistant leave a confused patient’s bed in the highest position after care. What should the nurse do?

1. AAsk the family to lower the bed when they next visit
2. BLeave it because the patient is asleep
3. CLower the bed now and remind the assistant why it matters
4. DWrite it in the assistant’s yearly review only

Which two patients can most safely share a room?

1. AA patient with influenza and a patient with COPD
2. BA patient with MRSA in a wound and a patient after surgery
3. CTwo patients who both have C. difficile infection
4. DA patient with chickenpox and a patient on chemotherapy

An RN sees an LPN/LVN crushing an extended-release metoprolol tablet to mix with applesauce. What should the RN do?

1. AStop the LPN/LVN and contact the prescriber or pharmacist about another form
2. BReport the LPN/LVN at the end of the month without saying anything now
3. CTell the LPN/LVN to give half of the crushed tablet now and the other half at lunchtime
4. DLet the LPN/LVN continue, since crushing makes the tablet easier to swallow

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