Ustalanie priorytetów i delegowanie: karta pracy z odpowiedziami

What is the usual adult reference range for serum potassium?

1. AAbout 6,0–8,0 mEq/L
2. BAbout 3,5–5,0 mEq/L
3. CAbout 1,5–2,5 mEq/L
4. DAbout 135–145 mEq/L

Which task can the RN usually assign to an LPN/LVN?

1. AWriting the patient’s initial plan of care
2. BChanging the dressing on a stable, healing wound
3. CTriaging a new arrival in the emergency department
4. DDoing the admission assessment of a new patient

What does a raised troponin level usually show?

1. ADamage to heart muscle
2. BA urinary tract infection
3. CDamage to the liver
4. DLow blood sugar

Który objaw jest nieoczekiwany i wymaga szybkiej reakcji?

1. APacjent ze znaną marskością ma żółtą skórę, która się nie zmieniła
2. BPacjent z wlewem heparyny ma nowy czarny, smolisty stolec
3. CPacjent dzień po laparoskopowej operacji pęcherzyka żółciowego ma ból prawego barku
4. DPacjent z wieloletnią POChP ma beczkowatą klatkę piersiową

A nasogastric tube has just been placed for feeding. What must happen before the first feed is given?

1. AThe tube is flushed with a large volume of water
2. BThe patient is asked if the tube feels comfortable
3. CPlacement is confirmed by an approved method
4. DThe feed is started slowly to see if the patient coughs

A patient has heart failure. Which instruction about daily weights is best to give the nursing assistant?

1. A“Weigh him each morning before breakfast, on the same scale, and tell me the result.”
2. B“Only weigh him if his ankles look more swollen than they did yesterday afternoon.”
3. C“Weigh him after lunch, fully dressed, with his shoes on.”
4. D“Weigh him at any time today, on whichever scale is free.”

Pacjent uratowany z pożaru domu ma oparzenia twarzy, osmalone włosy w nosie i chrypkę. Co jest priorytetem?

1. APodanie leczenia przeciwbólowego
2. BZabezpieczenie dróg oddechowych, przygotowanie do wczesnego wsparcia dróg oddechowych
3. CRozpoczęcie przetaczania płynów dożylnych obliczonych na podstawie rozległości oparzenia
4. DOczyszczenie i opatrzenie oparzeń twarzy

A patient with Guillain-Barré syndrome has weakness that is spreading up from the legs. Which assessment has the highest priority?

1. AMuscle strength in the feet and ankles at the start of each morning
2. BBreathing strength, such as vital capacity and the ability to cough
3. CSkin condition over the heels
4. DThe patient’s mood and coping