Ustalanie priorytetów i delegowanie: karta pracy z odpowiedziami

Using the rule of nines, what percentage of body surface does one whole arm represent in an adult?

1. A36%
2. B1%
3. C9%
4. D18%

What does the Morse Fall Scale measure?

1. AA patient’s nutrition status
2. BA patient’s skin integrity
3. CA patient’s pain level
4. DA patient’s risk of falling

Before giving a medication, how many patient identifiers should the nurse check?

1. ANone, if the nurse already knows the patient well
2. BAt least two, such as name and date of birth
3. COne, the bed number
4. DOne, the room number

A patient taking warfarin has an INR of 5,2 and no signs of bleeding. What should the nurse do?

1. AGive the usual dose and recheck the INR next month
2. BGive a double dose to correct the result
3. CHold the warfarin dose and inform the provider
4. DEncourage the patient to take aspirin for pain

A pregnant nurse is on the unit. Which patient should the charge nurse avoid assigning to her?

1. AA patient after a hip replacement
2. BA patient with type 2 diabetes who needs insulin teaching before discharge
3. CA patient with a sealed radioactive implant for cervical cancer
4. DA patient with a fractured wrist

A patient taking lisinopril develops swelling of the lips and tongue. What should the nurse do first?

1. ATell the patient this is a common, harmless effect
2. BApply a cold pack and recheck in an hour
3. CAssess the airway and call for urgent help
4. DGive the next dose of lisinopril with water

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. BAirborne precautions
3. CDroplet precautions
4. DContact precautions only

A patient has central chest pain that started 30 minutes ago at rest and has not eased with rest or nitroglycerin. What does this suggest?

1. AStable angina that will pass without treatment
2. BA possible myocardial infarction that needs urgent action
3. CIndigestion that is best treated with an antacid and a glass of milk
4. DMuscle strain that needs a warm compress