정답이 있는 우선순위 설정과 위임 학습지

Which serum potassium result should the nurse report to the provider promptly?

1. A3.8 mEq/L (3.8 mmol/L)
2. B4.9 mEq/L (4.9 mmol/L)
3. C4.2 mEq/L (4.2 mmol/L)
4. D6.4 mEq/L (6.4 mmol/L)

In which situation can a pulse oximeter give a falsely normal reading?

1. ACarbon monoxide poisoning
2. BA healthy adult at rest
3. CA warm, well-perfused finger
4. DA patient breathing room air normally

To which patients do standard precautions apply?

1. AAll patients, whether or not an infection is known
2. BOnly patients in intensive care
3. COnly patients with an open wound
4. DOnly patients with a confirmed infection on a lab test

A patient has a reddened area on the sacrum that does not blanch when pressed. What is the priority action?

1. AApply a heat pad to the area to increase circulation
2. BMassage the area firmly to improve the blood flow to the skin
3. CRelieve pressure on the area by changing position regularly
4. DKeep the patient lying on the back to protect the area

Which finding is an early sign of compartment syndrome in a patient with a lower leg fracture?

1. AItching under the cast during the first week after it was applied
2. BA strong pedal pulse with warm, pink toes and pain that settles with analgesia
3. CMild bruising around the fracture site on the second day
4. DPain out of proportion to the injury that worsens when the toes are stretched

간호사가 지난 한 시간 동안 혈압이 떨어지고 있는 환자의 일상적인 활력징후 측정을 간호조무사에게 위임합니다. 위임의 어느 권리가 충족되지 않았나요?

1. A올바른 상황
2. B올바른 지시와 의사소통
3. C올바른 사람
4. D올바른 업무. 활력징후는 결코 위임할 수 없기 때문이다

Which finding most suggests a tension pneumothorax rather than a simple pneumothorax?

1. AMild breathlessness with reduced breath sounds on one side of the chest only
2. BSharp chest pain that is worse on deep breathing
3. CTrachea shifted away from the affected side, with low blood pressure
4. DA small air leak seen on a routine chest X-ray

START 트리아지에서 걷지 못하는 성인이 분당 28회 호흡하고 요골 맥박이 없으며 모세혈관 재충혈 시간이 4초입니다. 이 피해자는 어느 범주로 분류되나요?

1. A검정(기대 불가)
2. B초록(경증)
3. C빨강(즉시)
4. D호흡수가 분당 30회 미만이므로 노랑(지연)