정답이 있는 우선순위 설정과 위임 학습지

In a patient with sepsis, what does a raised blood lactate level suggest?

1. AThe tissues are not getting enough oxygen
2. BThe liver is making too much bile
3. CThe kidneys are working harder than usual
4. DThe patient has eaten recently

Which statement belongs in the Background part of an SBAR report?

1. A“I would like you to see him within the next 15 minutes.”
2. B“I think he may be developing sepsis.”
3. C“I am calling about Mr Khan because his blood pressure has dropped.”
4. D“He was admitted three days ago with pneumonia and also has COPD.”

다수 사상자 트리아지에서 빨간색 표지는 보통 무엇을 뜻하나요?

1. A즉시: 생명을 위협하지만 신속한 치료로 생존할 수 있음
2. B기대 불가: 치료해도 생존 가능성이 낮거나 이미 사망
3. C지연: 심각한 부상이지만 당장은 안정적임
4. D경증: 걸을 수 있고 안전하게 기다릴 수 있음

Before accessing a central venous catheter, what should the nurse do to prevent infection?

1. ATouch the hub to check it is clean
2. BScrub the hub with an antiseptic such as chlorhexidine and let it dry
3. CBlow on the hub to remove any dust before connecting the syringe or line
4. DRinse the hub with tap water and dry it

위임에서 책임(accountability)을 올바르게 이해한 진술은 무엇인가요?

1. A“업무를 위임하면 더 이상 내 일이 아니다.”
2. B“업무가 잘못되면 조무사만 책임이 있다.”
3. C“간호조무사가 그 업무를 위임하는 것이 옳았는지에 대해 책임이 있다.”
4. D“나는 위임하기로 한 결정과 결과의 후속 확인에 대해 계속 책임이 있다.”

A patient with severe neutropenia needs a room. Which roommate is the safest choice?

1. AA patient with an infected, draining leg wound
2. BA patient with C. difficile diarrhea
3. CA patient after a knee replacement with no signs of infection
4. DA patient with influenza

A patient’s serum potassium is 6.1 mEq/L. Which of the patient’s medications should the nurse question first?

1. AHydrochlorothiazide
2. BSpironolactone
3. CFurosemide
4. DOmeprazole

A patient with septic shock remains hypotensive, with a mean arterial pressure of 58 mmHg, after adequate IV fluids. What should the nurse anticipate?

1. AAn oral fluid challenge with a sports drink
2. BA vasopressor, such as norepinephrine, to raise the pressure
3. CA beta-blocker to slow the heart rate
4. DA loop diuretic to remove the extra fluid that has been given