1.쉬움
How can patients take part in infection prevention?
- ABy cleaning their own IV sites with tap water
- BBy stopping their antibiotics on their own as soon as they feel a little better
- CBy sharing equipment with other patients
- DBy being encouraged to ask staff whether they have cleaned their hands
2.쉬움
What should be written instead of “cc” in a medication order?
- AU
- BmL
- Ccm
- Dcc only for oral drugs
3.쉬움
An adult’s white blood cell count is 18,000/mm3 (18 × 109/L). How is this best described?
- ANormal for an older adult
- BRaised (leukocytosis)
- CLow (leukopenia)
- DWithin the normal range
4.보통
Why is “QD” (once daily) on The Joint Commission’s “Do Not Use” list?
- AIt can be misread as QID or QOD, so the drug is given too often or too rarely
- BIt is only allowed for intravenous medicines
- CIt means “every day at bedtime” in some hospitals
- DIt is a Latin abbreviation, and only plain English abbreviations may be used
5.보통
A patient with a respiratory infection has a raised procalcitonin level. What does this most suggest?
- AA purely viral illness
- BDehydration from poor intake
- CAn allergic reaction to a recent medication
- DA bacterial rather than a viral infection
6.보통
When should the transparent dressing over a peripheral IV site be changed?
- AEvery hour, so the site can be cleaned again
- BWhen it is damp, loose or visibly soiled
- COnly when the IV catheter is removed, whatever its state
- DOnly when the patient asks for a new dressing
7.어려움
A patient with a common cold asks for antibiotics “to be on the safe side”. Which response is best?
- ASuggest using leftover antibiotics from a previous illness
- BTell the patient that antibiotics will shorten the cold by several days
- CExplain that antibiotics do not work on viruses and overuse breeds resistant bacteria
- DAsk the provider to prescribe antibiotics anyway so that the patient is reassured
8.어려움
A patient rescued from a house fire has a headache and confusion, but the pulse oximeter reads 99%. Why might this reading be misleading?
- APulse oximeters always read falsely low after any kind of smoke exposure
- BPulse oximetry cannot tell carbon monoxide-bound hemoglobin from oxygen-bound hemoglobin
- CConfusion and headache make pulse oximetry readings inaccurate in every patient
- DThe reading is accurate, so carbon monoxide poisoning is ruled out
정답표
- 1. D · By being encouraged to ask staff whether they have cleaned their hands
- 2. B · mL
- 3. B · Raised (leukocytosis)
- 4. A · It can be misread as QID or QOD, so the drug is given too often or too rarely
- 5. D · A bacterial rather than a viral infection
- 6. B · When it is damp, loose or visibly soiled
- 7. C · Explain that antibiotics do not work on viruses and overuse breeds resistant bacteria
- 8. B · Pulse oximetry cannot tell carbon monoxide-bound hemoglobin from oxygen-bound hemoglobin
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