解答つき感染管理と患者の安全ワークシート

What is a “never event”?

1. AAn event that has never been reported before
2. BAn event that only happens at night
3. CA rare side effect of a drug that has never been described in the literature before
4. DA serious, preventable event that should never happen, such as wrong-site surgery

Which infection is mainly spread through blood and is a major risk after a needlestick injury?

1. AHepatitis A
2. BHepatitis B
3. CSeasonal influenza
4. DNorovirus

A patient is transferred with carbapenem-resistant Enterobacterales (CRE). Which precautions are used in the hospital?

1. AAirborne precautions
2. BDroplet precautions
3. CA protective environment
4. DContact precautions

Hair must be removed from a planned surgical site. Which method reduces the risk of surgical site infection?

1. AUsing wax strips on the morning of surgery
2. BClipping with electric clippers just before surgery
3. CShaving with a disposable razor the night before surgery
4. DShaving with a razor just before the incision

A person in scrubs without a hospital ID badge asks to take a newborn to the nursery. What should the nurse do?

1. AHand over the baby if the person seems confident
2. BLet the parents decide whether to hand the baby over
3. CAsk the person their name and then give them the baby
4. DRefuse, keep the baby with the mother and alert security

A patient with difficulty swallowing is prescribed an extended-release tablet. What should the nurse do?

1. AAsk the prescriber or pharmacist for another form and not crush the tablet
2. BCut the tablet in half so it is easier to swallow
3. CCrush the tablet finely and mix it into a spoonful of applesauce or yogurt
4. DDissolve the tablet in a glass of hot water

A patient takes medicines prescribed by several providers. Which advice best reduces the risk of medication errors at home?

1. AKeep one up-to-date list of all medicines and use one pharmacy where possible
2. BStop taking any medicine that seems to repeat another one, without asking anyone
3. CKeep each provider’s medicines in separate bags
4. DOnly tell each provider about the drugs they prescribed

A nurse has a needlestick from a patient whose HIV and hepatitis status is unknown. What should happen?

1. AThe source patient is tested per policy, and the nurse has baseline tests
2. BNothing, because the source patient is probably not infected
3. CThe nurse waits six months before having any blood tests at all
4. DThe nurse is assumed to be infected and stops all work