정답이 있는 우선순위 설정과 위임 학습지

Which drug is used to reverse the effect of warfarin?

1. AVitamin K
2. BProtamine sulfate
3. CNaloxone
4. DFlumazenil

기도 문제인 소견은 무엇인가요?

1. A약하고 가는 요골 맥박
2. B쉰 목소리와 함께 혀와 입술이 붓는 것
3. C흡기 때 양쪽 폐 하부에서 들리는 미세한 수포음
4. D10점 만점에 8점으로 평가된 복통

응급 중증도 지수(ESI)에서 1단계는 무엇을 뜻하나요?

1. A즉각적인 생명 구조 중재가 필요함
2. B신속 진료 구역에서 진료받을 만큼 안정적임
3. C가장 덜 긴급한 환자임
4. D두 가지 이상의 자원이 필요함

The day after a total thyroidectomy, a patient reports tingling around the mouth and in the fingers. What should the nurse do first?

1. ACheck for signs of low calcium and inform the provider
2. BEncourage deep breaths into a paper bag until it passes
3. CReassure the patient that this is normal after neck surgery
4. DGive the patient’s routine oral iron supplement early

안정된 성인이 복통이 있고 활력징후는 정상입니다. 혈액 검사와 CT 촬영이 필요합니다. 어느 ESI 단계에 해당하나요?

1. A5단계
2. B3단계
3. C4단계
4. D1단계

A patient is receiving continuous tube feeds. Which action best reduces the risk of aspiration?

1. AKeep the head of the bed raised to at least 30 degrees
2. BIncrease the feed rate so the stomach empties sooner
3. CLay the patient flat for an hour after each bag is hung
4. DTurn the feed off only while the patient is asleep at night

A 2-month-old infant has a spiral fracture of the femur. The parents say the baby rolled off the sofa. What should the nurse recognize?

1. ANo further action is needed once the fracture is treated
2. BA spiral fracture in an infant is always caused by birth trauma
3. CInfants of this age often roll off furniture and break bones in this way
4. DThe injury does not fit the infant’s development, so possible abuse must be reported

After a head injury, a patient passes large amounts of very dilute urine, is thirsty and has a rising serum sodium. Which condition is most likely?

1. ADiabetes insipidus
2. BSIADH
3. CAcute kidney injury with oliguria
4. DDiabetic ketoacidosis