Ustalanie priorytetów i delegowanie: karta pracy z odpowiedziami

What is a transient ischemic attack (TIA)?

1. AA stroke that leaves permanent weakness or paralysis on one side of the body
2. BBrief stroke-like symptoms that resolve, warning of a possible stroke
3. CA heart attack that affects the brain
4. DA type of migraine with no link to stroke

When taking off protective equipment, which item is usually removed first?

1. AGoggles
2. BGown
3. CMask
4. DGloves

Jakie zadanie pielęgniarka dyplomowana (RN) może zwykle delegować personelowi pomocniczemu bez uprawnień (UAP), takiemu jak opiekun medyczny?

1. AOcenę reakcji pacjenta na lek przeciwbólowy
2. BPomiar parametrów życiowych u stabilnego pacjenta
3. CPrzeprowadzenie oceny przy przyjęciu nowego pacjenta
4. DNauczenie pacjenta wstrzykiwania nowej insuliny

A nurse teaches a patient about levothyroxine. Which statement shows a need for further teaching?

1. A“I will take it on an empty stomach with a glass of water.”
2. B“I will keep taking it even when I feel well.”
3. C“I will take it at the same time each morning.”
4. D“I will take it at breakfast with my calcium tablet.”

A patient has a reddened area on the sacrum that does not blanch when pressed. What is the priority action?

1. ARelieve pressure on the area by changing position regularly
2. BKeep the patient lying on the back to protect the area
3. CMassage the area firmly to improve the blood flow to the skin
4. DApply a heat pad to the area to increase circulation

A patient with schizophrenia says voices are telling him to hurt his roommate. What is the priority?

1. AAsk the roommate to stay in the room with him and help calm him down
2. BKeep everyone safe and tell the team, as the risk of harm is high
3. CIgnore the comment, because voices are part of his illness
4. DTell him the voices are not real and leave him alone

A provider asks a nurse to perform a procedure that is outside the nurse’s scope of practice. What should the nurse do?

1. ADo it, because the provider gave the instruction
2. BDecline, explain why and suggest who can safely do it
3. CAsk a nursing assistant to do it instead
4. DDo it just this once and promise the provider not to do it again

A patient with SIADH has a serum sodium of 120 mEq/L and is newly confused. Which nursing action has priority?

1. AEncouraging the patient to drink plenty of water
2. BSeizure precautions and close neurological checks
3. CTeaching the patient about a low-sodium diet at home
4. DHelping the patient to walk in the corridor alone