정답이 있는 우선순위 설정과 위임 학습지

매슬로 위계의 안전 단계에 속하는 환자 요구는 무엇인가요?

1. A산소
2. B타인의 인정
3. C우정
4. D낙상으로부터의 보호

Where is intramuscular epinephrine usually injected for anaphylaxis?

1. AThe abdomen under the skin
2. BThe buttock
3. CA vein in the hand
4. DThe outer middle thigh

A patient’s respiratory rate is 30/min at rest. How should the nurse classify this finding in an adult?

1. AAbnormally fast and needing assessment
2. BNormal after a meal
3. CSlow, and expected while the patient is asleep
4. DWithin the normal adult range

A patient has taken prednisone (prednisolone in many countries) for several months. Which statement shows a need for further teaching?

1. A“I will report signs of infection early.”
2. B“I will tell my dentist and other doctors that I take a steroid.”
3. C“I will stop the tablets as soon as I feel better.”
4. D“I will take the tablets with food.”

A patient taking lithium has vomiting, diarrhea and a new coarse tremor. What should the nurse do?

1. AEncourage the patient to cut down on salt and fluids
2. BGive the dose with food to reduce the stomach upset
3. CHold the next dose and report for an urgent lithium level
4. DReassure the patient that a coarse tremor is expected at first

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

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

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

A patient on airborne precautions for suspected tuberculosis must go to the radiology department. What should the patient wear during transport?

1. AA surgical mask
2. BA fit-tested N95 respirator
3. CGloves and a gown only
4. DNothing, if the trip is short