Ustalanie priorytetów i delegowanie: karta pracy z odpowiedziami

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

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

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

1. AThe assistant who accepted the task
2. BThe patient receiving the care
3. COnly the nurse manager
4. DNobody, once the task has been delegated

Which statement about pulse oximetry is correct?

1. AThe reading is always correct, whatever finger or hand is used
2. BIt measures the carbon dioxide in the blood
3. CCold fingers or nail polish can give an inaccurate reading
4. DIt shows the patient’s blood glucose

A nurse takes a telephone order from a provider. What must the nurse do?

1. ACarry out the order first and ask the provider to confirm it later
2. BWrite the order down and read it back to the provider to confirm it
3. CAsk the ward clerk to take the order on the nurse’s behalf instead
4. DRemember the order and write it in the chart at the end of the shift

A patient has a serum potassium of 2,9 mEq/L. Which finding should the nurse expect?

1. AA rise in urine output and thirst only
2. BMuscle weakness and U waves on the ECG
3. CTall, peaked T waves and muscle twitching
4. DFlushed, warm skin and a slow heart rate

A patient with a head injury is being monitored. Which set of findings suggests rising intracranial pressure?

1. ARising systolic pressure, slow pulse and irregular breathing
2. BLow temperature, fast breathing and a strong appetite
3. CFalling blood pressure, a fast pulse and warm, flushed dry skin
4. DNormal blood pressure, normal pulse and clear speech

A patient is admitted with suspected meningococcal meningitis. Which precautions are needed until treatment has been given for long enough?

1. AStandard precautions only
2. BDroplet precautions
3. CAirborne precautions
4. DContact precautions only

After a head injury, a patient has clear fluid dripping from the nose. Which action should the nurse avoid?

1. AInserting a tube or suction catheter through the nose
2. BChecking the fluid for glucose or a halo sign on gauze
3. CInforming the provider about the drainage
4. DPlacing a loose gauze under the nose