정답이 있는 우선순위 설정과 위임 학습지

Which patient concern belongs to the esteem level of Maslow’s hierarchy?

1. AMissing friends from home
2. BFear of slipping in the shower
3. CWorry about body image after a mastectomy
4. DThirst after a long period of fasting before a test

무면허 보조 인력에게 위임할 수 있는 업무는 무엇인가요?

1. A환자의 소변량 측정 및 기록
2. B욕창 사정
3. C어떤 소견에 대해 의료인에게 연락할지 결정하기
4. D환자에게 저나트륨 식이 교육하기

What is the CIWA scale used to assess?

1. AThe depth of a burn wound
2. BThe severity of alcohol withdrawal
3. CThe severity of a newborn’s jaundice
4. DThe risk of a pressure injury

A patient has a tonic-clonic seizure in bed. What should the nurse do first?

1. AHold the arms and legs down firmly to stop the jerking movements quickly
2. BGive a drink of water to help the patient wake
3. CPlace a tongue depressor between the teeth
4. DProtect the head and turn the patient on their side when possible

A patient at 35 weeks of pregnancy with high blood pressure calls the clinic. Which symptom needs urgent assessment?

1. ABackache after a long walk
2. BA severe headache with blurred vision
3. CMild ankle swelling at the end of the day
4. DNeeding to pass urine more often

A nurse teaches foot care to a patient with diabetes. Which statement shows a need for further teaching?

1. A“I will check the soles of my feet every day with a mirror.”
2. B“I will soak my feet in hot water every evening.”
3. C“I will dry well between my toes after washing.”
4. D“I will wear shoes that fit well, even at home.”

During an infusion of a thrombolytic drug for stroke, the patient develops a severe headache and starts vomiting. What should the nurse do first?

1. ASlow the infusion and give an antiemetic as prescribed
2. BStop the infusion and inform the provider at once
3. CGive a dose of aspirin for the headache
4. DContinue the infusion, because headache is expected

Two hours after a femoral cardiac catheterization, the nurse sees blood spreading from the puncture site. What is the first action?

1. AApply firm, direct pressure just above the puncture site
2. BRemove the dressing and leave the site open to the air
3. CRaise the head of the bed so the patient can sit up
4. DAsk the patient to bend the leg at the hip to stop the bleeding