정답이 있는 우선순위 설정과 위임 학습지

우선순위 문제에서 “먼저(first)” 무엇을 해야 하는지 물을 때 무엇을 묻는 것인가요?

1. A모두 옳더라도 다른 것들보다 앞서는 단계
2. B간호사가 일반적인 근무 중 가장 자주 하는 조치
3. C완료하는 데 가장 오래 걸리는 조치
4. D유일하게 옳은 보기이며 나머지는 틀림

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

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

Which fasting blood glucose value is normal for an adult without diabetes?

1. A85 mg/dL (4.7 mmol/L)
2. B210 mg/dL (11.7 mmol/L)
3. C55 mg/dL (3.1 mmol/L)
4. D145 mg/dL (8.0 mmol/L)

Before giving a scheduled dose of metoprolol, which assessment is most important?

1. AApical pulse and blood pressure
2. BTemperature and the latest pain score
3. CBlood glucose and weight
4. DBowel sounds and urine color

A patient’s peripheral IV site is swollen, pale and cool, and the infusion has slowed. What should the nurse do first?

1. AFlush the cannula hard to clear the blockage
2. BApply a tight bandage over the site to reduce swelling
3. CStop the infusion and remove the cannula
4. DIncrease the infusion rate to overcome the resistance

A patient taking lisinopril develops swelling of the lips and tongue. What should the nurse do first?

1. AAssess the airway and call for urgent help
2. BTell the patient this is a common, harmless effect
3. CGive the next dose of lisinopril with water
4. DApply a cold pack and recheck in an hour

A day after a femur fracture, a young patient becomes confused and breathless, with small red spots on the chest. What should the nurse suspect?

1. ANormal pain after a fracture
2. BAlcohol withdrawal
3. CFat embolism syndrome
4. DAn allergic reaction to the cast

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. BReassure her that this is normal “baby blues”
3. CLeave her alone with the baby to bond
4. DKeep the mother and baby safe and arrange urgent psychiatric care