1.やさしい
What should be written instead of “cc” in a medication order?
- Acc only for oral drugs
- BU
- CmL
- Dcm
2.やさしい
Which precautions are used for a child with impetigo?
- AAirborne precautions
- BA protective environment
- CDroplet precautions
- DContact precautions
3.やさしい
How should a nurse clean a stethoscope between patients?
- ARinse it under running water and dry it on a towel
- BWipe the diaphragm and tubing with an alcohol or approved disinfectant wipe
- CClean it once a week, unless it is visibly dirty
- DSend it to be sterilized in an autoclave after every single patient contact
4.ふつう
結核が疑われる患者が陰圧室にいます。正しい実践はどれですか?
- A出入りするとき以外は、ドアを閉めておく
- B面会者が何の防護もなしに入室できるようにする
- C常に患者を見られるよう、ドアを開けておく
- D夜間は部屋の換気を止める
5.ふつう
A patient has a non-violent restraint. In most nursing policies, how often at minimum is it released for range of motion, toileting and skin care?
- AAt least every 2 hours
- BOnce a day, during the bath
- COnce every 12-hour shift
- DOnly when the patient asks for it
6.ふつう
インスリンやヘパリンの持続注入など一部の薬に、独立したダブルチェックを行うのはなぜですか?
- A第二の人が別々に確認することで、見落とした誤りを発見できるから
- B誤りが起きたとき、2人の看護師で責任を分担するため
- C準備の過程を速くするため
- Dこれらの薬は無駄にすると非常に高価だから
7.むずかしい
A patient was harmed by a medication error and asks the nurse what happened. Which approach is best?
- ATell the patient to make a formal complaint to find out
- BBlame the pharmacy for the error so that the nurse and the ward are not at fault
- CBe honest that an error occurred and involve the provider and team in disclosure per policy
- DTell the patient nothing happened to avoid worry
8.むずかしい
A patient with suspected sepsis has orders for blood cultures and an IV antibiotic. What is the correct order of actions?
- ADraw the blood cultures first, then give the antibiotic without delay
- BWait for the culture results before starting the antibiotic
- CGive the antibiotic first so that treatment starts, and take the cultures the next day
- DGive the antibiotic and take the cultures an hour later
解答
- 1. C · mL
- 2. D · Contact precautions
- 3. B · Wipe the diaphragm and tubing with an alcohol or approved disinfectant wipe
- 4. A · 出入りするとき以外は、ドアを閉めておく
- 5. A · At least every 2 hours
- 6. A · 第二の人が別々に確認することで、見落とした誤りを発見できるから
- 7. C · Be honest that an error occurred and involve the provider and team in disclosure per policy
- 8. A · Draw the blood cultures first, then give the antibiotic without delay
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