정답이 있는 우선순위 설정과 위임 학습지

Which arterial blood pH is within the normal range?

1. A7.18
2. B7.52
3. C7.28
4. D7.40

Which triage method is designed for children in mass-casualty incidents?

1. AJumpSTART
2. BThe Braden Scale
3. CThe Glasgow Coma Scale
4. DThe APGAR score

Which drug is used to reverse the effect of warfarin?

1. ANaloxone
2. BVitamin K
3. CProtamine sulfate
4. DFlumazenil

The day after a total thyroidectomy, a patient reports tingling around the mouth and in the fingers. What should the nurse do first?

1. AReassure the patient that this is normal after neck surgery
2. BCheck for signs of low calcium and inform the provider
3. CGive the patient’s routine oral iron supplement early
4. DEncourage deep breaths into a paper bag until it passes

간호사가 동시에 호출벨 네 개를 받았습니다. 간호사는 어느 환자에게 가장 먼저 가나요?

1. A통증이 4/10이라며 진통제를 요청하는 환자
2. B의사가 몇 시에 오는지 묻는 환자
3. C유지 수액 백이 끝나 정맥 주입 펌프가 울리는 환자
4. D“숨을 쉴 수가 없어요”라고 말하는 환자

A patient wants to leave the hospital against medical advice. What should the nurse do?

1. ALet the patient leave without telling anyone
2. BHide the patient’s clothes and belongings until the provider arrives
3. CInform the provider, explain the risks and document the discussion
4. DLock the door so the patient cannot leave the unit

During birth, the baby’s head delivers but the shoulders do not follow. What should the nurse do first?

1. APull hard on the baby’s head and neck to free the trapped shoulders quickly
2. BAsk the mother to stop pushing and wait an hour
3. CHelp with the McRoberts position and give suprapubic pressure as directed
4. DPush firmly on the top of the uterus (fundal pressure)

After a head injury, a patient passes large amounts of very dilute urine, is thirsty and has a rising serum sodium. Which condition is most likely?

1. ADiabetic ketoacidosis
2. BSIADH
3. CDiabetes insipidus
4. DAcute kidney injury with oliguria