公式集、全トピックの解法の要点、6 問の演習問題。完全な解答は巻末にあります。
A nurse has been fit-tested for an N95 respirator. What should the nurse do each time it is put on?
A patient has signed a surgical consent form but tells the nurse, “I don’t really understand what they are going to do.” What should the nurse do?
A patient says, "I've never seen this tablet before," as the nurse offers it. What should the nurse do?
Where must the final identity check before a blood transfusion take place?
高い接種率が、接種するには幼すぎる赤ちゃんも守るのはなぜですか？
Staphylococcus aureus による食中毒は、食べてからわずか 1–6 時間で始まります。なぜそんなに速いのですか？
答え: C · Perform a user seal check
A fit test confirms that a model and size suit the person. A user seal check, breathing in and out to feel for leaks at the edges, is done every time the respirator is put on.
答え: B · Inform the surgeon so the procedure can be explained again before any sedation
Informed consent is the responsibility of the person doing the procedure. If the patient does not understand, the nurse pauses the process and tells the surgeon, before any sedative drug is given.
答え: D · Stop and recheck the prescription before giving it
A patient questioning a medicine may be a sign of an error. The nurse holds the dose, checks the prescription and the drug and explains before giving it.
答え: D · At the bedside, with the patient and their wristband
The final check matches the patient's identity, by asking and from the wristband, with the blood bag and prescription at the bedside. Most wrong-blood events come from checks done away from the patient.
答え: D · 感染をうつしうる人が減るので、感染が広がりにくくなるから
十分な数の人が免疫を持つと伝播の連鎖が断たれ、病原体は幼い赤ちゃんや免疫抑制患者のような感受性のある人にほとんど届かなくなります。
答え: D · 食べる前に、細菌が食品の中で耐熱性の毒素を作っていたから
S. aureus は温かい温度に置かれた食品の中でエンテロトキシンを作ります。毒素は食べた時点ですでに存在し、再加熱にも耐えるため、症状がすぐに始まります。
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