정답이 있는 임상간호학 학습지

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

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

A pleural effusion is:

1. AAn infection of the bronchi
2. BA blood clot in the lung
3. CAir in the pleural space after an injury
4. DA collection of fluid in the pleural space

글래스고 혼수 척도에서 가능한 가장 낮은 점수는?

1. A1
2. B0
3. C5
4. D3

Which ECG change is typical of hypokalaemia?

1. AST elevation in leads II, III and aVF
2. BA very short PR interval with a delta wave
3. CFlattened T waves and prominent U waves
4. DTall, peaked T waves

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

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

항암화학요법 후 호중구감소증이 있는 환자의 체온이 38.3 °C입니다. 우선순위는?

1. A환자에게 산책을 권함
2. B호중구감소성 패혈증으로 간주하고 긴급히 정맥 항생제 투여
3. C열이 내리는지 24시간 기다림
4. D아세트아미노펜만 주고 내일 체온을 다시 확인함

Why are patients with nephrotic syndrome at increased risk of blood clots?

1. ATheir blood pressure is always very low
2. BAnticoagulant proteins are lost in the urine and clotting factors rise
3. CThey lose all their red cells in the urine, which thickens the remaining blood
4. DThey lose most of their platelets in the urine every day

A patient faints during cannulation, with a slow pulse and pallor, and recovers quickly when laid flat. There is no rash, wheeze or swelling. What is most likely?

1. AA hypoglycaemic coma
2. BAnaphylaxis
3. CA stroke
4. DVasovagal syncope