정답이 있는 우선순위 설정과 위임 학습지

올바른 일반 우선순위 규칙은 무엇인가요?

1. A국소 문제가 보통 전신 문제보다 먼저다
2. B쉽게 해결할 수 있는 문제가 항상 먼저다
3. C전신 문제가 보통 국소 문제보다 먼저다
4. D심리적 문제가 항상 신체적 문제보다 먼저다

Which adult blood glucose result needs treatment straight away?

1. A110 mg/dL (6.1 mmol/L) after a snack
2. B130 mg/dL (7.2 mmol/L) two hours after a large lunch
3. C98 mg/dL (5.4 mmol/L) before breakfast
4. D52 mg/dL (2.9 mmol/L) with sweating and shakiness

What is the usual adult reference range for serum potassium?

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

After a hip replacement using a posterior approach, which statement shows a need for further teaching?

1. A“I will not bend my hip past 90 degrees.”
2. B“I will cross my legs when I sit, so I am more comfortable.”
3. C“I will use a raised toilet seat at home.”
4. D“I will keep a pillow between my knees when I lie on my side in bed.”

A patient receiving IV magnesium sulfate for pre-eclampsia has absent knee reflexes and a respiratory rate of 10/min. What does the nurse do first?

1. AStop the magnesium infusion and call for help
2. BIncrease the infusion to prevent a seizure
3. CTurn the patient onto her back and recheck later
4. DGive oral fluids to help clear the drug faster

A nurse teaches a patient about levothyroxine. Which statement shows a need for further teaching?

1. A“I will keep taking it even when I feel well.”
2. B“I will take it on an empty stomach with a glass of water.”
3. C“I will take it at breakfast with my calcium tablet.”
4. D“I will take it at the same time each morning.”

Two weeks after birth, a mother says she hears voices telling her the baby is evil. What is the priority?

1. AAdvise more sleep and book a routine follow-up visit for next month
2. BKeep the mother and baby safe and arrange urgent psychiatric care
3. CLeave her alone with the baby to bond
4. DReassure her that this is normal “baby blues”

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

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