解答つき感染管理と患者の安全ワークシート

Which type of latex reaction is the most dangerous?

1. AType IV (delayed) hypersensitivity
2. BType I (immediate) hypersensitivity
3. CIrritant contact dermatitis
4. DDry skin from frequent hand washing

Which precautions are used for a hospitalized patient with head lice (pediculosis)?

1. AA protective environment
2. BContact precautions
3. CDroplet precautions
4. DAirborne precautions

What is terminal cleaning?

1. ACleaning the hands at the end of a shift before going home
2. BCleaning a room only once a week, whatever happens on the ward
3. CCleaning computer terminals at the nurses’ station
4. DA full clean and disinfection of a room after the patient leaves

A patient receiving continuous nasogastric feeding has pulled the tube partly out. What should the nurse do first?

1. AIncrease the feed rate to make up for the lost time
2. BTape the tube in its new position and continue
3. CPush the tube back in and restart the feed
4. DStop the feeding until the tube position is checked

手袋の正しい外し方はどれですか？

1. A2枚目の手袋を素手で外側からつまんで外し、その後に手を洗う
2. B手袋をはめたまま手を洗い、次の作業にも再利用する
3. C両方の手袋を指先で同時に引き抜く
4. D1枚目を外側を持って剥がし、素手の指をもう一方のカフの内側に滑り込ませる

A patient with a respiratory infection has a raised procalcitonin level. What does this most suggest?

1. AA purely viral illness
2. BDehydration from poor intake
3. CAn allergic reaction to a recent medication
4. DA bacterial rather than a viral infection

A patient’s blood splashes onto a nurse’s forearm. The skin is intact. What is the correct response?

1. ADo nothing, because intact skin cannot be contaminated
2. BScrub the area with undiluted bleach
3. CStart HIV post-exposure prophylaxis right away, before any other step is taken
4. DWash the area with soap and water, then follow the reporting policy

An 84-year-old resident with an indwelling catheter suddenly becomes confused but has no fever. What should the nurse consider?

1. AThe confusion is part of normal aging at this age and needs no further action
2. BInfection can be ruled out because there is no fever
3. CAn infection may present as confusion in older adults, so assess further and report
4. DA sedative is needed to keep the resident calm