Ustalanie priorytetów i delegowanie: karta pracy z odpowiedziami

Which patient concern belongs to the esteem level of Maslow’s hierarchy?

1. AMissing friends from home
2. BFear of slipping in the shower
3. CWorry about body image after a mastectomy
4. DThirst after a long period of fasting before a test

When a charge nurse makes patient assignments, what does a patient’s “acuity” mean?

1. AHow long the patient has been in the hospital since admission
2. BHow many visitors the patient is expected to have
3. CHow far the patient’s room is from the nurses’ station
4. DHow ill the patient is and how much nursing care they need

What is a “critical value” in laboratory testing?

1. AA result that may be life-threatening and must be reported at once
2. BA result that is needed only for research
3. CA result that is slightly outside the normal range and can wait for the ward round
4. DA result that the patient has asked to see

A swimmer is found unresponsive after diving into shallow water. Which method should the nurse use to open the airway?

1. ARaising the chin while bending the neck forward
2. BTurning the head to the side to drain water
3. CJaw thrust, keeping the head and neck in line
4. DHead-tilt, chin-lift with full neck extension

A patient is in skeletal traction. Which finding needs the nurse to act?

1. AThe weights are resting on the floor
2. BThe patient’s body is in line with the traction
3. CThe ropes are in the pulleys
4. DThe weights are hanging freely

Pielęgniarka dyplomowana mówi do asystenta pielęgniarskiego: „Proszę zajrzeć do pacjenta w sali 12”. Którego „właściwego” elementu delegowania brakuje?

1. AWłaściwego zadania dla danego miejsca
2. BWłaściwych okoliczności
3. CWłaściwych wskazówek i komunikacji
4. DWłaściwej osoby do zadania

A patient suddenly has severe pain in one leg. The leg is pale and cold with no pedal pulse. What does this suggest?

1. AA muscle cramp that will pass with stretching
2. BAcute arterial occlusion, which is an emergency
3. CA deep vein thrombosis that can be treated next week
4. DChronic venous insufficiency that needs elevation

A patient at 34 weeks of pregnancy has painless, bright red vaginal bleeding. Which action should the nurse avoid?

1. AMonitoring the fetal heart rate
2. BA vaginal examination
3. CMeasuring the blood pressure and pulse
4. DWeighing the pads to estimate blood loss