정답이 있는 우선순위 설정과 위임 학습지

환자에게 새로운 심부정맥 혈전증이 있고 병동에서 외롭다고도 말합니다. 매슬로 위계를 적용하면 어느 욕구가 먼저인가요?

1. A입원 기간의 사랑과 소속 욕구
2. B혈전증과 관련된 생리적 욕구
3. C존중과 인정 욕구
4. D자아실현 욕구

Which term means being answerable for your own actions and their results?

1. AAccountability
2. BAuthority
3. CAssignment
4. DDelegation

트리아지(환자 분류)란 무엇인가요?

1. A병상 가용성에 따라 환자를 병동 사이로 옮기는 것
2. B근무 중인 간호사들에게 환자를 똑같이 나누는 것
3. C환자를 도착한 순서대로 엄격히 치료하는 것
4. D환자를 치료가 필요한 긴급도에 따라 분류하는 것

A patient with heart failure gained 2 kg (about 4 lb) since yesterday and is more breathless when lying down. What should the nurse do first?

1. AAssess the lungs, oxygen saturation and swelling, then inform the provider
2. BEncourage extra fluids to correct the weight change
3. CRecord the weight on the chart and recheck it at the next weekly weigh-in
4. DLay the patient flat to help them breathe more easily

A patient wants to leave the hospital against medical advice. What should the nurse do?

1. ALet the patient leave without telling anyone
2. BInform the provider, explain the risks and document the discussion
3. CLock the door so the patient cannot leave the unit
4. DHide the patient’s clothes and belongings until the provider arrives

An anxious patient is breathing very fast and has tingling fingers. The blood gas shows pH 7.51 and PaCO₂ 29 mmHg (3.9 kPa). What should the nurse do first?

1. AGive IV sodium bicarbonate as soon as it can be found
2. BStay with the patient and coach slow, calm breathing
3. CGive oxygen at the highest flow and leave the room
4. DEncourage the patient to breathe even faster

A nurse must care for a patient with a radioactive implant. Which approach best limits the nurse’s exposure?

1. ALimit time in the room, keep as far away as possible and use shielding
2. BSpend longer in the room each time but visit less often during the shift
3. CStand close to the patient to finish care faster
4. DWear a surgical mask to block the radiation

After a cervical spinal cord injury, a patient has a blood pressure of 80/50 mmHg, a heart rate of 48/min and warm, dry skin. What is most likely?

1. ASeptic shock
2. BCardiac tamponade
3. CHypovolemic shock
4. DNeurogenic shock