정답이 있는 우선순위 설정과 위임 학습지

매슬로 위계의 안전 단계에 속하는 환자 요구는 무엇인가요?

1. A타인의 인정
2. B낙상으로부터의 보호
3. C우정
4. D산소

Which phrase in a question usually signals a priority question?

1. A“Which term means inflammation of the liver?”
2. B“Which statement describes this drug’s class?”
3. C“Which action should the nurse take first?”
4. D“Which bone is found in the forearm?”

A patient’s urine output is 15 mL/h for three hours. How should the nurse classify this in an adult?

1. ALow and needing to be reported
2. BNormal for an adult at rest
3. CExpected after drinking fluids
4. DHigh, suggesting fluid overload

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. BEncourage the patient to drink more water
3. CRemove the catheter and wait for the patient to void
4. DGive a prescribed diuretic straight away

On the first day after abdominal surgery, a patient has a temperature of 37.9 °C and reduced breath sounds at the lung bases. Which nursing action is most helpful?

1. ARestrict oral fluids so that the lungs do not fill up with extra fluid
2. BEncourage deep breathing, coughing and use of the incentive spirometer
3. CGive a cough suppressant so that the incision is not strained
4. DKeep the patient lying flat in bed to rest the incision fully

Using the Emergency Severity Index, which level fits a 70-year-old with chest pressure that suggests a heart attack, but normal vital signs?

1. ALevel 4
2. BLevel 5
3. CLevel 1
4. DLevel 2

간호사가 예정된 퇴원에 이의를 제기해야 하는 환자는 누구인가요?

1. A탈장 수술 후 소변을 보고 식사를 하는 환자
2. B안정된 깁스를 하고 목발로 안전하게 걷는 환자
3. C경구 항생제로 48시간 동안 열이 없는 폐렴 환자
4. D수술 2일 후 새롭게 심박수가 분당 112회이고 체온이 38.4 °C인 환자

A patient has peripheral arterial disease with a non-healing ulcer on the toe. Which advice about leg position is correct?

1. ASit with the legs crossed to improve blood flow
2. BWrap the legs tightly with compression bandages
3. CKeep the legs level or slightly lowered, not raised
4. DKeep the legs raised above the heart as much as possible