정답이 있는 우선순위 설정과 위임 학습지

What is status epilepticus?

1. AA single short seizure that stops on its own within a minute or two
2. BA seizure lasting 5 minutes or more, or repeated seizures without recovery
3. CA faint caused by standing up too quickly
4. DA seizure that happens only during sleep

A conscious adult with hypoglycemia can swallow safely. What should the nurse give first?

1. AA large protein meal
2. BThe next dose of insulin
3. CA fast-acting carbohydrate by mouth, such as glucose tablets or juice
4. DIV glucose through a new cannula as the first choice for every patient

Which serum sodium value is within the normal adult range?

1. A128 mEq/L (128 mmol/L)
2. B152 mEq/L (152 mmol/L)
3. C120 mEq/L (120 mmol/L)
4. D140 mEq/L (140 mmol/L)

A patient on a nasal cannula at 6 L/min still has a low SpO₂. What should the nurse do?

1. ARemove the oxygen to see if the SpO₂ changes
2. BTurn the nasal cannula up to 15 L/min
3. CRecheck the SpO₂ at the next routine set of observations in four hours
4. DReport it, because a different oxygen device is likely to be needed

A nurse teaches a patient who uses home oxygen. Which statement shows a need for further teaching?

1. A“I will put up no-smoking signs at the front door and in my room.”
2. B“I will not use oil-based creams on my face.”
3. C“I will keep the oxygen away from the gas stove.”
4. D“My husband can smoke in my room if the window is open.”

A patient has a new plaster cast that is still drying. How should the nurse handle it?

1. ABy resting it directly on a hard surface
2. BWith the palms of the hands, not the fingertips
3. CBy covering it tightly with a plastic sheet
4. DWith the fingertips, pressing firmly to test it

A patient receiving comfort-focused end-of-life care is distressed by breathlessness. Which approach is most appropriate?

1. AStart a series of aggressive tests to find the exact cause of the breathlessness
2. BWithhold all opioids because they may slow breathing
3. CLeave the patient alone so they can rest
4. DGive prescribed opioids and use positioning and a fan to relieve breathlessness

A patient with anorexia nervosa is admitted. Which finding is the priority?

1. ARefuses to eat in front of other people
2. BHas fine, downy hair on her arms
3. CHeart rate 38/min and potassium 2.8 mEq/L
4. DSays she feels fat although she is very thin