정답이 있는 우선순위 설정과 위임 학습지

What is the usual adult reference range for serum potassium?

1. AAbout 3.5–5.0 mEq/L
2. BAbout 1.5–2.5 mEq/L
3. CAbout 6.0–8.0 mEq/L
4. DAbout 135–145 mEq/L

Before giving a medication, how many patient identifiers should the nurse check?

1. AAt least two, such as name and date of birth
2. BOne, the room number
3. COne, the bed number
4. DNone, if the nurse already knows the patient well

In nursing management, what is an “assignment”?

1. AA written order from a prescriber for a treatment
2. BAsking a colleague to do a task outside their usual scope
3. CHanding legal accountability for a patient over to a nursing colleague
4. DGiving staff care activities that are within their own role and scope

항생제 정맥 주입 중 환자에게 두드러기, 천명, 쉰 목소리가 생깁니다. 간호사가 가장 먼저 해야 할 일은 무엇인가요?

1. A주입 속도를 절반으로 줄인다
2. B주입을 중단한다
3. C차트에 반응을 기록한다
4. D경구 디펜히드라민을 준다

A patient with type 1 diabetes has vomited since morning and cannot eat. Which action is most important?

1. AWait until tomorrow to see if the vomiting settles
2. BStop all insulin until the patient is able to eat normally again
3. CEncourage a large meal to settle the stomach
4. DCheck the blood glucose and ketones and contact the provider

간호사가 훈련받은 조무사에게 혈당 측정을 위임하고는 결과를 한 번도 묻지 않습니다. 위임의 어느 권리가 빠졌나요?

1. A환경에 맞는 올바른 업무
2. B올바른 상황
3. C업무에 맞는 올바른 사람
4. D올바른 감독과 평가

Two patients on the unit have the same surname. What should the nurse do before giving a medication?

1. ACheck two identifiers against the wristband and the medication record
2. BAsk the patient, “Are you Mr Smith?” and give the drug once he says yes
3. CUse the room number as the main identifier
4. DAsk a nursing assistant which patient is which

Six hours after surgery, a patient has not passed urine, feels the urge to go and has a firm swelling above the pubic bone. What is the most likely problem?

1. AAcute kidney injury with no urine made
2. BUrinary retention
3. CA normal effect of the anesthetic
4. DDehydration from fasting before surgery