정답이 있는 기본간호학 학습지

What is breakthrough pain?

1. APain that goes away after a good night's sleep
2. BPain caused by breaking a bone
3. CPain felt only during physiotherapy
4. DA flare of pain between regular doses of analgesia

투약 전 환자 확인은 언제 해야 하나요?

1. A정맥 투여 약물일 때만
2. B입원 첫날 손목밴드를 채울 때만
3. C환자가 혼란스러울 때만
4. D매번, 투약할 때마다

What is urinary retention?

1. ALeaking urine without control
2. BPassing small amounts of urine too often
3. CBeing unable to empty the bladder fully
4. DProducing very dilute urine

ABCDE 접근법의 올바른 평가 순서는?

1. A기도, 출혈, 의식, 식이, 배설
2. B기도, 호흡, 순환, 신경학적 상태, 노출
3. C각성, 혈압, 순환, 약물, 진찰
4. D사정, 호흡, 간호 계획, 퇴원, 평가

How is pitting oedema checked?

1. APress over a bony area such as the shin for a few seconds and look for a dent
2. BPinch the skin on the back of the hand and see how fast it falls back
3. CPress on the nail bed and time the return of colour
4. DMeasure the width of both calves with a tape measure once a week and compare them

How should a nurse help a patient with severe visual impairment on admission?

1. AIntroduce themselves, describe the room and keep items in place
2. BSpeak more loudly than usual
3. CGuide the patient by pushing them gently from behind as they walk
4. DMove the patient's belongings around to keep the area tidy

A patient with a slow-healing leg ulcer is eating less than half of their meals. What is the most helpful nursing action?

1. ARefer to the dietitian and support protein and energy intake
2. BAsk the patient to drink less to avoid swelling
3. CGive extra salt to stimulate the appetite
4. DWait until the ulcer heals before addressing nutrition

During a sterile dressing change, the nurse's sterile glove touches the bed rail. What should the nurse do?

1. ACarry on, as the bed rail was cleaned that morning
2. BRemove the gloves, perform hand hygiene and put on new sterile gloves
3. CWipe the glove with an alcohol swab and carry on with the dressing change
4. DPut a second pair of sterile gloves over the first pair