1.やさしい
職員の放射線被ばくを減らす3原則はどれですか?
- A速度、高さ、色
- B時間、距離、遮蔽
- C手袋、ガウン、ゴーグル
- D手指衛生、マスク、換気
2.やさしい
When should the side rails of a young child’s hospital crib be fully raised?
- AOnly at night while the child sleeps
- BOnly if the child has fallen before
- CWhenever the child is in the crib and the nurse steps away
- DOnly when a parent asks for them to be raised before leaving the room
3.やさしい
In The Joint Commission’s (US) terminology, what is a sentinel event?
- AA minor error that reaches the patient but causes no harm of any kind at all
- BAn unexpected event causing death or serious physical or psychological harm
- CAn expected side effect that was explained to the patient
- DAn error that is caught before it reaches the patient
4.ふつう
Which practice is safe when transferring a patient from a bed to a stretcher?
- AHave the patient slide across without help or a slide sheet
- BLeave the stretcher wheels unlocked so it can move with the patient
- CLock the wheels of both the bed and the stretcher before moving the patient
- DLower the stretcher side rails during transport
5.ふつう
A patient with difficulty swallowing is prescribed an extended-release tablet. What should the nurse do?
- ADissolve the tablet in a glass of hot water
- BAsk the prescriber or pharmacist for another form and not crush the tablet
- CCut the tablet in half so it is easier to swallow
- DCrush the tablet finely and mix it into a spoonful of applesauce or yogurt
6.ふつう
A patient has severe neutropenia after chemotherapy. Which route for measuring temperature should be avoided?
- ARectal
- BOral
- CTympanic
- DTemporal artery
7.むずかしい
看護師が10 000単位/mLのヘパリンのバイアルを手に取りました。この病棟では通常1000単位/mLのバイアルを備えています。特に注意が必要なのはなぜですか?
- A吸い上げる量が少なくてすむため、濃いバイアルのほうが安全だから
- B濃度の高いバイアルを間違えて使うと、10倍の過量投与になるから
- Cヘパリンの濃度は安全性に影響しないから
- Dどちらの規格のバイアルも自由に取り替えてよいから
8.むずかしい
窒息のリスクがある意識清明な患者に、経口薬を与えています。最も安全な実践はどれですか?
- A患者を座位にして、錠剤を1錠ずつ与える
- B許可されているか確認せずに、すべての錠剤を砕く
- C飲み込みやすいよう、患者を仰臥位に寝かせる
- D時間を節約するため、すべての錠剤を一度に与える
解答
- 1. B · 時間、距離、遮蔽
- 2. C · Whenever the child is in the crib and the nurse steps away
- 3. B · An unexpected event causing death or serious physical or psychological harm
- 4. C · Lock the wheels of both the bed and the stretcher before moving the patient
- 5. B · Ask the prescriber or pharmacist for another form and not crush the tablet
- 6. A · Rectal
- 7. B · 濃度の高いバイアルを間違えて使うと、10倍の過量投与になるから
- 8. A · 患者を座位にして、錠剤を1錠ずつ与える
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