정답이 있는 우선순위 설정과 위임 학습지

In US patient-safety terms (The Joint Commission), what is a sentinel event?

1. AAn unexpected event that causes death or serious harm
2. BA routine handover between shifts
3. CA planned admission to intensive care
4. DA minor error that was noticed but caused no harm at all

Which finding is one of the quick SOFA (qSOFA) criteria for possible sepsis?

1. ARespiratory rate of 22/min or more
2. BTemperature below 36.5 °C on one reading
3. CHeart rate below 60/min
4. DBlood glucose above 100 mg/dL

우선순위 문제에서 “불안정한” 환자란 무엇을 뜻하나요?

1. A상태가 변하고 있거나 예측하기 어려운 환자
2. B내일 수술에 대해 불안해하며 우는 환자
3. C당뇨병 같은 만성 질환이 있는 환자
4. D다섯 가지가 넘는 약을 복용하는 환자

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

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

혼합 내과 병동에서 간호사가 가장 먼저 만나야 할 환자는 누구인가요?

1. A혈압이 136/84 mmHg인 고혈압 환자
2. B내일 퇴원에 대한 서면 정보를 요청하는 환자
3. C아세트아미노펜을 요청하는 가벼운 긴장성 두통 환자
4. D소지품을 나눠 주었고 자살 계획이 있는 우울증 환자

A patient on a continuous IV heparin infusion has new black, tarry stools and an aPTT well above the target range. What should the nurse do first?

1. AGive a dose of vitamin K by mouth
2. BStop the heparin infusion and inform the provider
3. COffer an iron-rich meal to replace the lost blood
4. DCheck the pump rate and leave the infusion running

At 08:00 a nurse has four tasks. Which order is best?

1. AGive insulin with breakfast, update care plans, check the patient with a falling SpO₂, give routine medications
2. BCheck the patient with a falling SpO₂, give insulin with breakfast, give routine medications, update care plans
3. CUpdate care plans, give insulin with breakfast, give routine medications, check the patient with a falling SpO₂
4. DGive routine medications, check the patient with a falling SpO₂, update care plans, give insulin with breakfast

A charge nurse notices that a nurse smells of alcohol and is slurring words at the start of the shift. What is the priority?

1. AAsk the nurse to drink coffee and then start work
2. BLet the nurse work, but only with stable patients
3. CRemove the nurse from patient care and report it according to policy
4. DWait until the end of the shift and then discuss the concern with the nurse privately