정답이 있는 우선순위 설정과 위임 학습지

간호조무사가 네 가지 소견을 보고합니다. 간호사가 가장 먼저 확인해야 할 것은 무엇인가요?

1. A담요를 한 장 더 달라고 하는 환자
2. B아침 식사를 다 먹지 못한 환자
3. C친척에게 전화하고 싶어 하는 환자
4. D갑자기 오른팔을 움직이지 못하는 환자

What is status epilepticus?

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

매슬로의 욕구 위계를 적용할 때 간호사가 보통 가장 먼저 다루는 환자 문제는 무엇인가요?

1. A야간 낙상 위험
2. B낮은 자존감
3. C가스 교환 장애
4. D사회적 고립

A pregnant nurse is on the unit. Which patient should the charge nurse avoid assigning to her?

1. AA patient with a fractured wrist
2. BA patient after a hip replacement
3. CA patient with a sealed radioactive implant for cervical cancer
4. DA patient with type 2 diabetes who needs insulin teaching before discharge

After a hip replacement, a patient has sudden severe hip pain, and the operated leg looks shorter and turned. What should the nurse suspect?

1. ADislocation of the new hip
2. BNormal pain after surgery
3. CA pressure injury on the heel
4. DA urinary tract infection

Two nursing assistants argue loudly at the station about their assignments. What is the charge nurse’s best first step?

1. AIgnore it and hope they sort it out
2. BChange both of their assignments without any discussion
3. CReport them to human resources at once
4. DMeet both of them privately to hear each side

간호사가 예정된 퇴원에 이의를 제기해야 하는 환자는 누구인가요?

1. A수술 2일 후 새롭게 심박수가 분당 112회이고 체온이 38.4 °C인 환자
2. B안정된 깁스를 하고 목발로 안전하게 걷는 환자
3. C경구 항생제로 48시간 동안 열이 없는 폐렴 환자
4. D탈장 수술 후 소변을 보고 식사를 하는 환자

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