Ustalanie priorytetów i delegowanie: karta pracy z odpowiedziami

W trzystopniowym systemie triażu pacjent ze skręconą kostką, prawidłowymi parametrami życiowymi i łagodnym bólem jest zwykle zaklasyfikowany jako:

1. AOczekujący (expectant)
2. BNagły (emergent)
3. CPilny
4. DNiepilny

A patient’s urine output is 15 mL/h for three hours. How should the nurse classify this in an adult?

1. ANormal for an adult at rest
2. BHigh, suggesting fluid overload
3. CLow and needing to be reported
4. DExpected after drinking fluids

Which white blood cell count suggests an infection or inflammation?

1. A8,200/mm³ (8,2 × 10⁹/L)
2. B7,000/mm³ (7 × 10⁹/L)
3. C6,500/mm³ (6,5 × 10⁹/L)
4. D18,000/mm³ (18 × 10⁹/L)

A patient receives hemodialysis this morning. Which type of medication is often held before dialysis, as prescribed?

1. AInhaled bronchodilators
2. BAntihypertensive drugs
3. CTopical skin creams
4. DEye drops for glaucoma

A patient on a nasal cannula at 6 L/min still has a low SpO₂. What should the nurse do?

1. ARecheck the SpO₂ at the next routine set of observations in four hours
2. BReport it, because a different oxygen device is likely to be needed
3. CRemove the oxygen to see if the SpO₂ changes
4. DTurn the nasal cannula up to 15 L/min

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

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

Which patient with cirrhosis should the nurse see first?

1. ALarge ascites that is unchanged from yesterday
2. BLong-standing jaundice and itchy skin, asking for cream
3. CWants to talk about stopping drinking alcohol for good
4. DVomiting bright red blood, heart rate 120/min

Which finding most suggests a tension pneumothorax rather than a simple pneumothorax?

1. ATrachea shifted away from the affected side, with low blood pressure
2. BSharp chest pain that is worse on deep breathing
3. CMild breathlessness with reduced breath sounds on one side of the chest only
4. DA small air leak seen on a routine chest X-ray