Ustalanie priorytetów i delegowanie: karta pracy z odpowiedziami

What does the Braden Scale measure?

1. AThe risk of developing a pressure injury
2. BThe severity of alcohol withdrawal symptoms
3. CThe risk of falling during a hospital stay
4. DThe level of consciousness after a head injury

In the Emergency Severity Index (ESI), which patient fits level 2?

1. AA stable patient who needs no resources
2. BA stable patient who needs one resource
3. CA high-risk situation, new confusion, or severe pain or distress
4. DA patient who needs an immediate life-saving intervention to survive

What is the main purpose of a rapid response team?

1. ATo review medication errors and falls after they have happened on the unit
2. BTo handle complaints from patients and families
3. CTo assess and treat a deteriorating patient before an arrest happens
4. DTo transport stable patients between hospital units

A patient on a medical unit tells the nurse he has a plan to end his life and has saved tablets at home. What is the priority action?

1. AReassure him that things usually look better in the morning after some sleep
2. BArrange a psychiatry appointment for next week
3. CEnsure constant observation and remove anything he could use to harm himself
4. DAsk him to promise he will not harm himself

A patient has a new plaster cast that is still drying. How should the nurse handle it?

1. ABy resting it directly on a hard surface
2. BBy covering it tightly with a plastic sheet
3. CWith the fingertips, pressing firmly to test it
4. DWith the palms of the hands, not the fingertips

A patient with asthma has two inhalers: a corticosteroid and salbutamol (albuterol). Which statement shows a need for further teaching?

1. A“I will carry my salbutamol inhaler with me.”
2. B“I will use my steroid inhaler when I have a sudden attack.”
3. C“I will use my steroid inhaler every day, even when I feel well.”
4. D“I will rinse my mouth after using the steroid inhaler.”

A nurse sees a colleague put a vial of an opioid into their own pocket instead of returning it. What should the nurse do?

1. ASay nothing, because it is not their business
2. BReport it to the nurse manager according to policy
3. CAsk the colleague to share the vial with them
4. DTell the patients to watch the colleague carefully

Którego pacjenta na oddziale nefrologicznym pielęgniarka powinna zobaczyć w pierwszej kolejności?

1. APacjenta, który prosi o poradę dotyczącą diety ubogofosforanowej
2. BPacjenta na hemodializie, który opuścił wczorajszą sesję i ma teraz osłabienie mięśni i nieregularne tętno
3. CPacjenta na dializie otrzewnowej, u którego odprowadzany płyn jest przejrzysty
4. DPacjenta, którego przetoka tętniczo-żylna ma silne drżenie i szmer