解答つき感染管理と患者の安全ワークシート

転倒リスクの高い患者のベッドはどのような状態にしておくべきですか？

1. A常に4本のベッド柵をすべて上げておく
2. B最も高い位置にする
3. C最も低い位置にし、ブレーキをかける
4. Dすぐ動かせるようにブレーキを外しておく

Why is a transmission-based precautions sign placed at the door of a patient’s room?

1. ATo show that the room has been cleaned
2. BTo tell everyone the patient’s diagnosis and test results
3. CTo stop all staff and visitors from entering the room for any reason
4. DTo tell staff and visitors which precautions and PPE are needed before entering

An adult’s platelet count is 40,000/mm³ (40 × 10⁹/L). What does this mean?

1. AA normal platelet count for an adult
2. BA low count that only matters during surgery
3. CA raised platelet count with a risk of clots
4. DThrombocytopenia with a raised risk of bleeding

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

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

Before inserting a peripheral IV, the nurse cleans the skin with chlorhexidine-alcohol. What should the nurse do next?

1. ALet it dry fully and do not touch the site again
2. BFeel for the vein again with an ungloved finger
3. CWipe it off with a dry gauze straight away
4. DBlow on the site so it dries faster

Why are some patients screened with a nasal swab for MRSA on admission?

1. ATo find carriers so precautions or decolonization can be used
2. BTo measure the patient’s immunity to MRSA
3. CTo check whether the patient is allergic to penicillin before surgery
4. DTo diagnose a sinus infection

The fire alarm sounds, but the nurse does not know where the fire is. What should the nurse do?

1. AOpen all doors so patients can be seen easily
2. BEvacuate all patients down the stairs at once, starting with those in bed
3. CLeave the unit and the building to find out where the fire is
4. DClose the doors to patient rooms, stay on the unit and wait for instructions

接触予防策中の患者のケアをしている看護師が、ガウンの袖が破れていることに気づきました。看護師はどうすべきですか？

1. A破れが小さく袖だけなので、そのまま作業を続ける
2. Bテープの切れ端で破れを覆って続ける
3. C患者から離れ、出入口で安全にPPEを外し、手指を清潔にして、ガウンを着直す
4. D破れたガウンの上に、もう1枚ガウンを重ねる