解答つき感染管理と患者の安全ワークシート

In The Joint Commission’s (US) terminology, what is a sentinel event?

1. AAn unexpected event causing death or serious physical or psychological harm
2. BAn expected side effect that was explained to the patient
3. CA minor error that reaches the patient but causes no harm of any kind at all
4. DAn error that is caught before it reaches the patient

Morse転倒スケールなどの転倒リスクツールで、得点が高いことは何を意味しますか？

1. A圧迫損傷のリスクが低い
2. B移動能力が良好
3. C転倒のリスクが高い
4. D転倒のリスクが低い

Which device warns staff when a patient at high risk of falls starts to get up?

1. AAn infusion pump occlusion alarm
2. BA bed or chair exit alarm
3. CA cardiac monitor
4. DA pulse oximeter

When should a nurse call the rapid response team?

1. AOnly when the provider has written an order for a rapid response call in the chart
2. BWhen a patient shows an acute decline, such as new confusion or a sharp change in vital signs
3. COnly when the patient’s family makes a complaint
4. DOnly after a patient has had a cardiac or respiratory arrest on the ward

Which measure is part of the bundle for inserting a central venous catheter to prevent bloodstream infection?

1. ARoutine replacement of the catheter on a fixed schedule, such as every three days
2. BChlorhexidine-alcohol skin antisepsis and maximal sterile barrier precautions
3. CGiving antibiotics to every patient before insertion
4. DChoosing the femoral vein as the first site in adults

Which patient has the highest risk of a burn from a heating pad?

1. AA healthy young adult with a strained muscle
2. BA patient recovering from a cold
3. CA patient with diabetic peripheral neuropathy
4. DA patient with a sprained wrist who is fully alert

看護師が、患者の輸液ポンプの速度が処方の10倍に設定されていることに気づきました。患者は元気そうに見えます。最初の対応は何ですか？

1. A速度はそのままにして、所見を記録に残す
2. B輸液を止めるか修正し、その後に患者をアセスメントする
3. C患者に普段と違う感じがあるか尋ね、続ける
4. D副作用が出るかどうか様子を見る

A patient on long-term high-dose corticosteroids asks for the nasal spray influenza vaccine. What should the nurse explain?

1. AEither type is fine, as long as it is given in the morning
2. BThe nasal spray is the best choice for people on steroids, because it is not injected
3. CPeople on steroids should never have any influenza vaccine
4. DThe nasal spray is a live vaccine, so the injected inactivated vaccine is used instead