정답이 있는 임상간호학 학습지

천골 부위의 손상되지 않은 피부에 눌러도 하얘지지 않는 붉은 부위가 있습니다. 욕창의 몇 단계로 분류하나요?

1. A4단계
2. B1단계
3. C3단계
4. D2단계

Why must patients and visitors never smoke or use naked flames near oxygen therapy?

1. AFlames make the oxygen less effective
2. BSmoke blocks the oxygen tubing and stops the flow
3. COxygen makes things burn much more easily and fiercely
4. DOxygen turns cigarette smoke into a poisonous gas

저혈당의 전형적인 증상은?

1. A과일 냄새가 나는 깊고 빠른 호흡
2. B따뜻하고 건조한 피부와 느린 맥박
3. C심한 갈증과 많은 소변
4. D땀, 떨림, 혼란

2형 당뇨병 환자가 급성으로 아프고 심하게 탈수되었으며, 의미 있는 케톤 없이 혈당이 40 mmol/L입니다. 가장 가능성 높은 진단은?

1. A탈수를 동반한 당뇨병성 케톤산증
2. B저혈당
3. C요붕증
4. D고삼투성 고혈당 상태

Which ECG change is typical of hypokalaemia?

1. AA very short PR interval with a delta wave
2. BST elevation in leads II, III and aVF
3. CTall, peaked T waves
4. DFlattened T waves and prominent U waves

Which equipment must always be kept at the bedside of a patient with a tracheostomy?

1. AA blood glucose meter and a spare urinary catheter of the same size
2. BA peak flow meter and a nebuliser
3. CSpare tracheostomy tubes, including one a size smaller, and working suction
4. DA blood pressure cuff and a spare nasal cannula and oxygen mask only

A patient has sudden, severe "tearing" chest pain going through to the back and a large difference in blood pressure between the arms. What should be suspected?

1. AStable angina
2. BPericarditis
3. CGastro-oesophageal reflux
4. DAortic dissection

A patient with known cirrhosis suddenly vomits large amounts of bright red blood and becomes tachycardic. What is the most likely cause?

1. AA Mallory-Weiss tear from a small amount of vomiting
2. BBleeding from ruptured oesophageal varices
3. CSwallowed blood from a nosebleed
4. DA lower GI bleed from diverticular disease