解答つき感染管理と患者の安全ワークシート

How should waste contaminated with chemotherapy drugs be discarded?

1. AIn a separate labeled container for hazardous drug waste
2. BIn the general household-type trash bin on the ward, tied in a bag
3. CIn the recycling bin with plastics
4. DDown the sink with plenty of water

After washing hands at a sink with hand-operated taps, how should the nurse turn off the water?

1. AWith the bare forearm before drying
2. BWith a clean, dry paper towel
3. CWith the freshly washed hands
4. DThe tap is left running for the next person

Under event-related sterility, how long is a sterile package considered sterile?

1. AUntil it is opened, torn, wet or otherwise damaged
2. BForever, even if the outer wrapper gets wet
3. CFor exactly seven days after it was packed
4. DUntil the end of the shift on which it was opened

Many intensive care units bathe patients daily with chlorhexidine. What is the main purpose?

1. ATo treat existing wound infections without the need for antibiotics
2. BTo reduce skin bacteria and bloodstream infections linked to central lines
3. CTo moisturize dry skin in older patients
4. DTo lower the patient’s body temperature

A small spill of blood is found on the floor. How should it be cleaned?

1. AWipe it up quickly with a dry cloth using bare hands, then wash the hands well
2. BCover it with a clean sheet and keep working
3. CWear gloves, absorb the blood, then clean the area with an approved disinfectant
4. DLeave it until housekeeping arrives the next morning

Which information must be documented when a patient is restrained?

1. AOnly whether the family agreed to the restraint
2. BOnly the name of the nurse who applied it and the unit where it happened
3. COnly the time the restraint was put on and the time it was taken off
4. DThe reason, alternatives tried, type of restraint, times and regular assessments

患者の創にMRSAが検出され、今度ドレッシング交換が必要です。適切なPPEはどれですか？

1. Aガウンやその他の防護なしの、滅菌手袋のみ
2. BMRSAは耐性菌なので、N95マスクのみ
3. C後で手を洗うなら、PPEは不要
4. Dガウンと手袋。飛散のおそれがあれば、眼の防護具とマスクも

A patient’s blood splashes onto a nurse’s forearm. The skin is intact. What is the correct response?

1. AWash the area with soap and water, then follow the reporting policy
2. BDo nothing, because intact skin cannot be contaminated
3. CStart HIV post-exposure prophylaxis right away, before any other step is taken
4. DScrub the area with undiluted bleach