정답이 있는 우선순위 설정과 위임 학습지

Which patient needs a single room with airborne precautions?

1. AA patient with a urinary tract infection and a catheter
2. BA patient with type 2 diabetes
3. CA patient with suspected pulmonary tuberculosis
4. DA patient with a fractured femur

Which symptoms are classic signs of digoxin toxicity?

1. ANausea, poor appetite and yellow-green visual halos
2. BHair loss and weight gain
3. CA rash, high fever and swollen lymph nodes in the neck
4. DHigh blood sugar and increased thirst

간호 우선순위를 정하는 ABC 틀에서 가장 먼저 다루는 요구는 무엇인가요?

1. A호흡(Breathing)
2. B기도(Airway)
3. C순환(Circulation)
4. D통증

A patient with mild dysphagia after a stroke is eating. Which technique helps make swallowing safer?

1. ASitting upright with the chin tucked down while swallowing
2. BDrinking thin fluids quickly through a straw between bites
3. CLying flat with the head tilted back
4. DTalking while eating to stay alert

A nursing assistant offers to suction a patient’s new tracheostomy. Which response from the RN is best?

1. A“Thank you, please suction him as needed and tell me how it went.”
2. B“Suctioning a new tracheostomy is my task; I will do it myself.”
3. C“Ask the patient’s family to do the suctioning today.”
4. D“Leave the suctioning until the next shift arrives.”

보통 산과에서 일하는 간호사가 성인 내과 병동에 파견되었습니다. 이 간호사에게 배정하기 가장 적절한 환자는 누구인가요?

1. A활동성 상부 위장관 출혈이 있는 환자
2. B새로 기관절개술을 받은 환자
3. C경구 항생제로 안정적인 폐렴 환자
4. D당뇨병성 케톤산증으로 인슐린을 지속 주입 중인 환자

간호사가 처방된 용량이 안전하지 않다고 생각합니다. 처방자는 그래도 주라고 합니다. 간호사는 어떻게 해야 하나요?

1. A절충안으로 절반 용량을 주고 이유를 기록한다
2. B용량을 보류하고 보고 체계를 통해 상급자에게 알린다
3. C이제 처방자가 책임지므로 용량을 투여한다
4. D갈등을 피하려고 아무 말 없이 조용히 건너뛴다

An RN has five patients and a nursing assistant. One patient has just become short of breath. Which task should the RN delegate so that the RN can go to that patient?

1. AExplaining the new diagnosis to the breathless patient’s family
2. BMorning vital signs on the four stable patients
3. CGiving the breathless patient’s IV furosemide
4. DAssessing the breathless patient’s lung sounds