내외과 간호: 벼락치기 팩

A patient has chest pain at rest in the early morning with brief ST elevation that resolves. Coronary arteries are later found to be clear. Which condition is most likely?

1. AStable exertional angina from a fixed plaque
2. BAcute pericarditis
3. CAortic stenosis
4. DVasospastic (Prinzmetal) angina

천식 환자가 아스피린 복용 후 천명음이 생긴 병력이 있습니다. 수술 후 통증에 이부프로펜이 처방되었습니다. 간호사는 어떻게 해야 합니까?

1. A이부프로펜은 아스피린과 관련이 없으므로 투약한다
2. B투약을 보류하고 대체 약을 요청한다
3. C속효성 흡입기와 동시에 투약한다
4. D통증 점수가 8/10 초과일 때만 투약한다

For which patient with migraine would the nurse question an order for sumatriptan?

1. AA patient with a history of angina
2. BA patient with well-controlled hypothyroidism
3. CA patient who also has asthma
4. DA patient with an allergy to penicillin

Why may nitrofurantoin be avoided in an older patient with significantly reduced kidney function?

1. AIt cannot be taken with food in kidney disease
2. BIt cures kidney disease too quickly
3. CIt turns the urine red in kidney disease
4. DIt works less well and is more likely to be toxic

Which nursing intervention best reduces preoperative anxiety?

1. AKeeping family members away until after surgery
2. BExplaining what will happen and answering questions
3. CAvoiding talking about the operation at all
4. DTelling the patient that there is nothing to worry about

만성 통증으로 장기간 아편유사제를 복용하는 환자가 수술을 위해 입원했습니다. 올바른 설명은?

1. A수술이 끝난 후에는 파라세타몰만 받아야 한다
2. B내성 때문에 평소 아편유사제를 계속하고 추가 진통을 한다
3. C중독을 막기 위해 입원 시 모든 아편유사제를 중단해야 한다
4. D아편유사제 미사용 환자보다 수술 후 아편유사제 용량이 더 낮게 필요하다

환자의 경련 발작이 5분 넘게 지속되었습니다. 이것은 무엇을 뜻하나요?

1. A정상이며 치료가 필요 없다
2. B혀를 깨물지 않도록 입에 무언가를 넣는다
3. C움직임을 멈추게 하려고 팔다리를 억제한다
4. D뇌전증 지속 상태로 간주하고 응급 약물을 투여해야 한다

A patient with a central venous catheter develops fever and rigors shortly after the line is flushed, with no other obvious source. What should be suspected?

1. ANormal response to line use
2. BAn allergic reaction to the saline flush
3. CA pulmonary embolism
4. DA catheter-related bloodstream infection

A patient with a potassium of 2.8 mEq/L has potassium chloride prescribed IV. Which statement about giving it is correct?

1. AIt is given as an undiluted bolus into a large vein to avoid irritation
2. BIt is added to the IV bag without mixing, so it stays at the bottom
3. CIt is always diluted and given by infusion pump, never as an IV push
4. DIt may be given as a slow IV push over one minute if the level is very low

A patient in hyperosmolar hyperglycemic state has a glucose of 1,050 mg/dL (58 mmol/L), very dry mucous membranes and a fast pulse. Which treatment is usually the first priority?

1. AOral glucose-lowering tablets
2. BStrict fluid restriction
3. CAn IV bolus of sodium bicarbonate
4. DLarge-volume IV fluid replacement

연습용 값: Na⁺ 132 mmol/L, 포도당 5.6 mmol/L, 요소 9.8 mmol/L. 혈청 삼투질 농도 Osm = 2·Na⁺ + 포도당 + 요소를 가장 가까운 정수로 계산하시오.

연습용 값: Na⁺ 144, Cl⁻ 90, HCO₃⁻ 16 mmol/L. AG = Na⁺ − (Cl⁻ + HCO₃⁻)를 써서 델타 비 (AG − 12)/(24 − HCO₃⁻)을(를) 계산하시오. 소수 둘째 자리까지 답하시오.

이 II유도 리듬 기록지를 해석하세요. 어떤 리듬입니까? 답을 클릭하세요.

1. 1심방세동
2. 2심실조기수축(PVC)이 있는 동율동
3. 3심방조동, 4:1 전도
4. 4접합부 율동

이 II유도 기록지는 심방과 심실 사이의 전도 문제를 보여 줍니다. 어떤 리듬입니까? 답을 클릭하세요.

1. 12도 방실차단 1형(Wenckebach)
2. 2심방세동
3. 32도 방실차단 2형
4. 43도(완전) 방실차단

A nurse teaches a patient with COPD pursed-lip breathing. Which statement shows a need for further teaching?

1. A“I will breathe in through my mouth and out quickly through my nose.”
2. B“I will make my breath out about twice as long as my breath in.”
3. C“I will breathe out slowly through pursed lips.”
4. D“I will breathe in slowly through my nose.”

Two patients on the unit have the same surname. What should the nurse do before giving a medication?

1. AAsk a nursing assistant which patient is which
2. BUse the room number as the main identifier
3. CCheck two identifiers against the wristband and the medication record
4. DAsk the patient, “Are you Mr Smith?” and give the drug once he says yes