정답이 있는 우선순위 설정과 위임 학습지

Which serum sodium value is within the normal adult range?

1. A152 mEq/L (152 mmol/L)
2. B140 mEq/L (140 mmol/L)
3. C120 mEq/L (120 mmol/L)
4. D128 mEq/L (128 mmol/L)

Which single action is the most effective way to prevent the spread of infection in hospital?

1. AGiving every patient antibiotics
2. BWearing a mask all day
3. CHand hygiene
4. DKeeping the windows closed

An adult without lung disease is breathing room air. Which SpO₂ reading needs action?

1. A97%
2. B96%
3. C99%
4. D89%

Straight after birth, what is the first priority for a healthy-looking newborn?

1. AGive the vitamin K injection before anything else is done
2. BDry and warm the baby while checking that it is breathing
3. CGive the first bath to remove the blood and vernix
4. DWeigh and measure the baby on the scale

A patient has a serum potassium of 2.9 mEq/L. Which finding should the nurse expect?

1. AMuscle weakness and U waves on the ECG
2. BA rise in urine output and thirst only
3. CTall, peaked T waves and muscle twitching
4. DFlushed, warm skin and a slow heart rate

A patient is raising his voice, pacing and clenching his fists. What should the nurse do first?

1. AStand very close to him and tell him firmly and loudly to sit down and be quiet
2. BTurn away and ignore the behavior
3. CSpeak calmly, keep a safe distance and invite him to talk about what is wrong
4. DApply physical restraints at once

중심정맥관을 제거하는 도중 환자가 갑자기 숨이 차고 흉통이 생기며 SpO₂가 떨어집니다. 간호사가 가장 먼저 해야 할 일은 무엇인가요?

1. A막힘을 뚫기 위해 카테터를 생리식염수로 세척한다
2. B환자에게 천천히 깊게 숨 쉬게 하고 계속한다
3. C환자를 똑바로 앉히고 관을 빨리 마저 제거한다
4. D부위를 덮고, 머리를 낮춘 왼쪽 옆으로 눕히며, 산소를 주고, 도움을 요청한다

After a head injury, a patient passes large amounts of very dilute urine, is thirsty and has a rising serum sodium. Which condition is most likely?

1. ADiabetic ketoacidosis
2. BAcute kidney injury with oliguria
3. CDiabetes insipidus
4. DSIADH