정답이 있는 우선순위 설정과 위임 학습지

Which patient usually fits ESI level 5?

1. AAn adult in cardiac arrest
2. BA stable adult who needs blood tests and an X-ray of the chest
3. CA stable adult who only needs a repeat prescription
4. DAn adult with chest pain suggesting a heart attack

Which term means being answerable for your own actions and their results?

1. ADelegation
2. BAccountability
3. CAssignment
4. DAuthority

일반적으로 우선순위가 가장 높은 환자 문제는 무엇인가요?

1. A불안
2. B약물에 대한 지식 부족
3. C기도 폐쇄
4. D급성 통증

A young adult has just started an SSRI antidepressant for major depression. What should the nurse monitor most closely in the first weeks?

1. AThoughts of suicide or self-harm
2. BHair growth and skin color
3. CRising blood glucose levels
4. DWeight loss from too much appetite

간호사가 가장 먼저 만나야 할 환자는 누구인가요?

1. A식이에 대해 묻는 제2형 당뇨병 환자
2. B30분 전에 시작된 새로운 어눌한 말투와 얼굴 처짐이 있는 환자
3. C내일 투석이 예정된 만성 콩팥병 환자
4. D오래된 류마티스 관절염으로 평소처럼 아침 관절 강직이 있는 환자

A patient’s urinary catheter has drained no urine for two hours, and the lower abdomen is swollen. What should the nurse do first?

1. ACheck the tubing for kinks or obstruction
2. BGive a prescribed diuretic straight away
3. CEncourage the patient to drink more water
4. DRemove the catheter and wait for the patient to void

An older patient with heart failure is receiving a second unit of blood. She becomes breathless, with crackles in both lungs and a rising blood pressure. What is most likely happening?

1. AHypoglycemia caused by the stored blood product
2. BAn expected effect of the first unit
3. CTransfusion-associated circulatory overload
4. DA mild allergic reaction with hives

After cardiac surgery, a patient becomes hypotensive with distended neck veins and muffled heart sounds, and chest drain output has suddenly stopped. What should the nurse suspect?

1. ACardiac tamponade
2. BLeft-sided heart failure
3. CA blocked urinary catheter
4. DHypovolemic shock from dehydration