정답이 있는 우선순위 설정과 위임 학습지

간호조무사가 네 가지 소견을 보고합니다. 간호사가 가장 먼저 확인해야 할 것은 무엇인가요?

1. A갑자기 오른팔을 움직이지 못하는 환자
2. B담요를 한 장 더 달라고 하는 환자
3. C아침 식사를 다 먹지 못한 환자
4. D친척에게 전화하고 싶어 하는 환자

What is a “near miss” in patient safety?

1. AA planned treatment that did not work
2. BA complaint from a visitor
3. CAn error that reached the patient and caused serious harm
4. DAn error that was caught before it reached the patient

Which hemoglobin result is low for an adult woman?

1. A14.0 g/dL (140 g/L)
2. B7.8 g/dL (78 g/L)
3. C13.2 g/dL (132 g/L)
4. D12.6 g/dL (126 g/L)

A patient reports pain of 8/10. Before giving the prescribed as-needed analgesic, what does the nurse do first?

1. ATell the patient to wait until the next scheduled dose is due in two hours
2. BGive the strongest analgesic on the chart straight away
3. CAsk the nursing assistant to reposition the patient
4. DAssess the location, character and onset of the pain and the vital signs

A nursing assistant tells the RN that a patient’s IV pump is alarming. What is the best response?

1. A“Turn the pump off and on again until it stops.”
2. B“I will come and check the pump and the IV site now.”
3. C“Increase the rate a little so the alarm clears.”
4. D“Silence the alarm and I will check it at the end of the shift.”

Five days after starting heparin, a patient’s platelet count has fallen by more than half. What should the nurse suspect?

1. AAn expected effect that needs no action
2. BIron deficiency anemia
3. CHeparin-induced thrombocytopenia
4. DVitamin K deficiency

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. ATransfusion-associated circulatory overload
2. BAn expected effect of the first unit
3. CA mild allergic reaction with hives
4. DHypoglycemia caused by the stored blood product

On an addiction unit, which patient should the nurse assess first?

1. ADrowsy with pinpoint pupils and a respiratory rate of 7/min
2. BYawning, with a runny nose and dilated pupils
3. CAnxious, with goose bumps, stomach cramps and loose stools
4. DAsking for an extra blanket and a hot drink