정답이 있는 우선순위 설정과 위임 학습지

Which of these is one of the standard “rights” of medication administration?

1. ARight patient
2. BRight brand
3. CRight ward
4. DRight colleague

How many levels does the Emergency Severity Index have?

1. ASix
2. BFour
3. CThree
4. DFive

What are Kussmaul respirations?

1. AShort pauses in breathing during normal sleep
2. BDeep, rapid breathing seen in metabolic acidosis such as DKA
3. CNoisy, high-pitched breathing caused by a blocked upper airway
4. DSlow, shallow breathing after an opioid overdose

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

보통 산과에서 일하는 간호사가 성인 내과 병동에 파견되었습니다. 이 간호사에게 배정하기 가장 적절한 환자는 누구인가요?

1. A활동성 상부 위장관 출혈이 있는 환자
2. B당뇨병성 케톤산증으로 인슐린을 지속 주입 중인 환자
3. C경구 항생제로 안정적인 폐렴 환자
4. D새로 기관절개술을 받은 환자

Which action helps prevent a catheter-associated urinary tract infection?

1. ADisconnecting the bag every shift to empty it
2. BRaising the drainage bag above the bladder when walking
3. CKeeping the drainage bag below the level of the bladder
4. DLeaving the catheter in place longer than needed

Two days after starting haloperidol, a patient suddenly develops painful neck twisting and the eyes roll upwards. What should the nurse anticipate?

1. AA higher dose of haloperidol to calm the patient and stop the movements quickly
2. BNo action, because the spasm is a sign of improvement
3. CAn anticholinergic drug, such as benztropine or procyclidine, as prescribed
4. DPhysical restraint until the spasm passes

간호사가 환자 네 명을 돌보고 있습니다. 일상 간호를 위해 간호조무사에게 안전하게 배정할 수 있는 환자는 누구인가요?

1. A혈당이 52 mg/dL(2.9 mmol/L)이고 땀을 흘리는 환자
2. B한 시간 전 새로 흉관을 삽입한 환자
3. C뇌졸중 5일째이며 목욕 도움이 필요하고 활력징후가 안정적인 환자
4. D수술에서 돌아와 수술 후 첫 사정이 필요한 환자