解答つき感染管理と患者の安全ワークシート

Why is the symbol “µg” avoided in medication orders?

1. AIt means “units per gram” in some countries
2. BIt can only be used for intravenous drugs
3. CIt can be misread as “mg”, giving a dose a thousand times too high
4. DIt is the symbol for micrograms of alcohol and is only used in laboratory reports

Surgical instruments that enter sterile tissue are “critical” items. Which processing do they need before reuse?

1. ACleaning with detergent and water only
2. BLow-level disinfection
3. CHigh-level disinfection
4. DSterilization

What does ESBL stand for in an ESBL-producing organism?

1. AExtended-surface biofilm layer
2. BEnteric serum beta-lymphocyte
3. CEnhanced staphylococcal bacterial load
4. DExtended-spectrum beta-lactamase

Why must visible dirt be removed from equipment before it is disinfected?

1. AOrganic matter can shield organisms and weaken the disinfectant
2. BDirt makes the disinfectant react and work too strongly on the surface
3. CDisinfectants only work on wet surfaces
4. DCleaning first is only needed for metal items

利尿薬を使用している転倒リスクの高い患者が、夜間によく起き上がります。最も有効な対策はどれですか？

1. A眠れるように、夜間は部屋を真っ暗にしておく
2. B昼食後は何も飲まないよう患者に伝える
3. C夜間に効くよう、利尿薬を就寝時に投与する
4. D時間を決めた排泄誘導を行い、ナースコールと歩行補助具を手の届く所に置く

A nurse finds a used needle in a patient’s bed linen. What should the nurse do?

1. ALeave it where it is for the housekeeping staff to remove later in the day
2. BFold it into the linen and send it to the laundry
3. CPick it up by the hub or with forceps, put it in a sharps container and report it
4. DRecap it with two hands before throwing it away

A hospital will introduce new infusion pumps and wants to find out how the process could fail before any harm occurs. Which method fits best?

1. AA morbidity and mortality meeting
2. BFailure mode and effects analysis (FMEA)
3. CRoot cause analysis (RCA) of the new pumps
4. DAn incident report for each new pump

While preparing an IV medication, a nurse sees that the syringe tip touched the medication tray after the cap came off. What should the nurse do?

1. ADiscard the syringe and prepare the dose again with new equipment
2. BWipe the tip with an alcohol swab and give the dose
3. CGive the dose anyway, because the medication tray was cleaned this morning
4. DBlow on the tip to remove any dust