Ustalanie priorytetów i delegowanie: karta pracy z odpowiedziami

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Imię: ____________________   Data: ____________

1.Łatwy

Which hemoglobin result is low for an adult woman?

  1. A7,8 g/dL (78 g/L)
  2. B13,2 g/dL (132 g/L)
  3. C14,0 g/dL (140 g/L)
  4. D12,6 g/dL (126 g/L)
2.Łatwy

Which blood pressure in an adult suggests hypotension?

  1. A82/48 mmHg
  2. B118/76 mmHg
  3. C110/70 mmHg
  4. D126/82 mmHg
3.Łatwy

Which finding meets the usual definition of orthostatic hypotension?

  1. AHeart rate falls by 5/min after lying down
  2. BSystolic pressure rises by 20 mmHg or more within 3 minutes of standing up
  3. CSystolic pressure falls by 20 mmHg or more within 3 minutes of standing
  4. DBlood pressure is the same lying and standing
4.Średni

Stabilny dorosły z prawidłowymi parametrami życiowymi ma ranę ciętą dłoni wymagającą szwów i niczego więcej. Który poziom ESI pasuje?

  1. APoziom 4
  2. BPoziom 3
  3. CPoziom 2
  4. DPoziom 5
5.Średni

Which SBAR recommendation is the clearest?

  1. A“I will keep watching him and call again tomorrow.”
  2. B“I just wanted to let you know about him.”
  3. C“He seems a bit off tonight, so maybe you could come up and do something about it.”
  4. D“I would like you to see him within 15 minutes and consider a fluid bolus.”
6.Średni

A patient’s peripheral IV site is swollen, pale and cool, and the infusion has slowed. What should the nurse do first?

  1. AFlush the cannula hard to clear the blockage
  2. BApply a tight bandage over the site to reduce swelling
  3. CIncrease the infusion rate to overcome the resistance
  4. DStop the infusion and remove the cannula
7.Trudny

At the end of a shift, the nurse’s relief has not arrived and the patients are acutely ill. What should the nurse do?

  1. AStay and tell the charge nurse, and hand over before leaving
  2. BLeave a written note at the station and go home
  3. CLeave on time, because the shift has officially ended
  4. DAsk a nursing assistant to watch the patients until someone comes
8.Trudny

A nurse returns to the station to find four messages. Which one is answered first?

  1. AThe laboratory is calling with a critical potassium result of 2,6 mEq/L
  2. BThe pharmacy asks when the next delivery should be scheduled
  3. CA family member wants an update on their father’s progress
  4. DA colleague asks to swap shifts with them next week because of a family wedding

Klucz odpowiedzi

  1. 1. A · 7,8 g/dL (78 g/L)
  2. 2. A · 82/48 mmHg
  3. 3. C · Systolic pressure falls by 20 mmHg or more within 3 minutes of standing
  4. 4. A · Poziom 4
  5. 5. D · “I would like you to see him within 15 minutes and consider a fluid bolus.”
  6. 6. D · Stop the infusion and remove the cannula
  7. 7. A · Stay and tell the charge nurse, and hand over before leaving
  8. 8. A · The laboratory is calling with a critical potassium result of 2,6 mEq/L

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