1.やさしい
Which of these counts as a physical restraint?
- APlacing the bed in its lowest position
- BUsing a bed exit alarm for a patient at high risk of falling at night
- CUsing a gait belt while helping a patient walk in the corridor
- DRaising all four side rails to stop a patient from getting out of bed
2.やさしい
Which PPE is needed when a nurse draws blood from a vein?
- AAn N95 respirator
- BGloves
- CA full face shield and boots
- DA sterile gown
3.やさしい
How should a labeled specimen be sent to the laboratory?
- AIn a sealed biohazard bag, with the request form in the separate pocket
- BLoose in the nurse’s uniform pocket so that it does not get lost on the way
- CIn an open cup placed on the transport trolley
- DIn the same bag as the request form, touching the paper
4.ふつう
薬のバイアルと注射器の取り扱いで、安全な実践はどれですか?
- A洗い流せば、同じ注射器を2人の患者に使う
- B後で使うために、バイアルのゴム栓に針を刺したままにする
- C新しい針を付ければ、注射器を再使用する
- Dバイアルに針を刺すたびに、新しい滅菌済みの針と注射器を使う
5.ふつう
A nurse wants to set up a sterile field in the morning for a procedure that will take place after lunch. What is correct?
- ASet it up in the morning and ask a colleague to check it once
- BSet it up in the morning and leave it uncovered in an empty room
- CSet it up just before the procedure, because a waiting field may become contaminated
- DSet it up in the morning and cover it with a clean towel until the procedure starts
6.ふつう
A small spill of blood is found on the floor. How should it be cleaned?
- AWipe it up quickly with a dry cloth using bare hands, then wash the hands well
- BWear gloves, absorb the blood, then clean the area with an approved disinfectant
- CCover it with a clean sheet and keep working
- DLeave it until housekeeping arrives the next morning
7.むずかしい
A nurse teaches a patient with neutropenia about preventing infection at home. Which statement shows a need for further teaching?
- A“I can clean the cat’s litter box if I wear a face mask.”
- B“I will avoid crowds and people who have colds.”
- C“I will check my temperature and call if I have a fever.”
- D“I will wash my hands often and ask visitors to do the same.”
8.むずかしい
A patient rescued from a house fire has a headache and confusion, but the pulse oximeter reads 99%. Why might this reading be misleading?
- AThe reading is accurate, so carbon monoxide poisoning is ruled out
- BConfusion and headache make pulse oximetry readings inaccurate in every patient
- CPulse oximetry cannot tell carbon monoxide-bound hemoglobin from oxygen-bound hemoglobin
- DPulse oximeters always read falsely low after any kind of smoke exposure
解答
- 1. D · Raising all four side rails to stop a patient from getting out of bed
- 2. B · Gloves
- 3. A · In a sealed biohazard bag, with the request form in the separate pocket
- 4. D · バイアルに針を刺すたびに、新しい滅菌済みの針と注射器を使う
- 5. C · Set it up just before the procedure, because a waiting field may become contaminated
- 6. B · Wear gloves, absorb the blood, then clean the area with an approved disinfectant
- 7. A · “I can clean the cat’s litter box if I wear a face mask.”
- 8. C · Pulse oximetry cannot tell carbon monoxide-bound hemoglobin from oxygen-bound hemoglobin
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