解答つき感染管理と患者の安全ワークシート

In the chain of infection, which link is broken when a patient covers the mouth and nose with a tissue when coughing?

1. AThe infectious agent
2. BThe reservoir
3. CThe susceptible host
4. DThe portal of exit

What do the letters in SBAR stand for?

1. ASituation, Behavior, Analysis, Review
2. BSituation, Background, Assessment, Recommendation
3. CSymptoms, Baseline, Assessment, Response
4. DSummary, Background, Assessment, Result

A chemical splashes into a nurse’s eye. How long should the eye be flushed with water at an eyewash station?

1. AFor at least 15 minutes
2. BOnly until the stinging stops
3. CFor about 30 seconds
4. DFor about 2 minutes

A patient is on a ventilator. Which bed position helps to prevent ventilator-associated pneumonia?

1. AHead of the bed raised about 10 degrees
2. BHead of the bed raised 30 to 45 degrees
3. CLying completely flat
4. DTrendelenburg position

A patient has patient-controlled analgesia (PCA). A family member presses the button while the patient sleeps. What should the nurse explain?

1. AOnly the patient should press it, because this keeps the system safe
2. BThe pump will always stop any overdose
3. CPressing it while the patient sleeps prevents the pain from getting worse later
4. DFamily can press it as long as they count the presses

錠剤を渡す前に、患者が「この薬はいつもの薬と見た目が違う」と言いました。看護師はどうすべきですか？

1. A病院ではどの薬も見た目が違うものだと患者に説明する
2. B患者を安心させて錠剤を渡す
3. C半分だけ渡して、異常な作用がないか観察する
4. D投与前に手を止めて、指示と薬を再確認する

While preparing a chemotherapy infusion, the drug splashes onto a nurse’s forearm. What should the nurse do first?

1. AFinish hanging the infusion and then wash the skin
2. BRemove contaminated PPE and wash the skin with soap and water at once
3. CCover the area with a dressing and report later
4. DWipe the skin with an alcohol swab and continue preparing the infusion

異なる薬の外観のよく似たバイアルが隣り合わせに保管されていて、看護師があやうく間違ったほうを取りそうになりました。ジャストカルチャーを最もよく反映した対応はどれですか？

1. A間違ったバイアルを取りそうになった看護師を懲戒する
2. B病棟の評判を守るため、出来事を伏せておく
3. C報告し、バイアルを離して置くなどシステムを改善する
4. Dもっと注意するよう看護師に伝え、ほかは何もしない