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。
When is it appropriate to use the override function on an automated dispensing cabinet to take a drug before pharmacist review?
A nurse has raised a safety concern about an order with the prescriber, who dismissed it without addressing it. What should the nurse do next?
When measuring a wound, how is the length usually taken?
A patient reports pain of 8/10 but is chatting calmly and has normal vital signs. What should the nurse do?
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？
尿道カテーテルにバイオフィルムの形で細菌が定着しています。抗生物質を投与するだけでなく、普通カテーテルを交換するのはなぜですか？
答え: D · Only in an urgent situation where delay would harm the patient, per policy
Pharmacist review checks for allergies, interactions and dosing errors. Overrides are limited to true emergencies and drugs on an approved list, because bypassing review has led to serious errors.
答え: B · State the concern clearly a second time and, if still unresolved, use the chain of command
The two-challenge rule says the concern is voiced at least twice to make sure it was heard. If it is still not addressed, the nurse escalates through the chain of command rather than acting against the patient’s safety.
答え: D · In the head-to-toe direction across the longest part
Using the body's head-to-toe axis for length and side-to-side for width keeps measurements consistent between nurses, so changes in size are meaningful.
答え: A · Accept the report, assess further and offer analgesia
Pain is what the patient says it is. People cope with pain in different ways, and vital signs often stay normal, especially in chronic pain, so the self-report guides care.
答え: A · 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: C · バイオフィルムの中の細菌は守られていて、抗生物質ではずっと殺しにくいから
バイオフィルムの中の細菌は保護的な基質の中に住み、ゆっくり増え、高濃度の抗生物質にも耐えられます。器具を取り除くと感染源が取り除かれます。
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