정답이 있는 임상간호학 학습지

성인에서 탈수를 시사하는 징후는?

1. A이틀 동안의 체중 증가
2. B발목 부종, 폐의 수포음, 경정맥압 상승
3. C촉촉한 입, 옅은 소변, 정상 맥박
4. D입 마름, 짙고 농축된 소변, 빈맥

The term "pyrexia" means:

1. AA fast breathing rate
2. BA slow heart rate
3. CA low body temperature
4. DA raised body temperature

A pressure ulcer with partial-thickness skin loss, seen as a shallow open wound or an intact blister, is which category (stage)?

1. ACategory 2
2. BCategory 4
3. CCategory 1
4. DCategory 3

After a total hip replacement through a posterior approach, which movement should the patient usually avoid in the early weeks?

1. ABending the hip beyond 90 degrees or crossing the legs
2. BWalking short distances with a frame and a physiotherapist
3. CDoing gentle ankle exercises
4. DLying on their back

A patient receives IV furosemide for fluid overload. Which findings show the treatment is working?

1. AA rise in weight and more lung crackles
2. BA rise in blood pressure and a new cough
3. CFalling urine output, new ankle swelling and a rise in weight
4. DIncreased urine output, less breathlessness and a falling weight

환자의 배가 판자처럼 단단하고, 움직이면 통증이 심해져 매우 가만히 누워 있습니다. 이것이 시사하는 것은?

1. A소화불량
2. B복막염
3. C요로감염
4. D변비

A conscious patient with hypoglycaemia was given fast-acting carbohydrate. On re-check 15 minutes later the blood glucose is 3.6 mmol/L (65 mg/dL). What should the nurse do next?

1. AGive another dose of fast-acting carbohydrate and recheck
2. BGive a dose of subcutaneous insulin
3. CGive a long-acting carbohydrate snack only and recheck tomorrow
4. DTake no action because the level is rising

머리 손상 환자에게 혈압 상승, 심박수 감소, 불규칙한 호흡이 나타납니다. 이것이 시사하는 것은?

1. A패혈증
2. B두개내압 상승(쿠싱 삼징후)
3. C공황 발작
4. D숨은 내출혈로 인한 저혈량성 쇼크