解答つき感染管理と患者の安全ワークシート

手袋の着用に関して、手指衛生はいつ必要ですか？

1. A不要（手袋が手指衛生の代わりになるから）
2. B手袋が破れたときだけ
3. C手袋をはめる前と外した後
4. D手袋をはめる前だけ

Which procedure requires surgical asepsis (sterile technique)?

1. AInserting an indwelling urinary catheter
2. BGiving an oral medication through the mouth
3. CGiving a bed bath
4. DMeasuring blood pressure on the upper arm

手術の直前に行う「タイムアウト」の目的は何ですか？

1. A手術後に器械とガーゼの数を数えること
2. B患者、術式、部位をチーム全員で確認すること
3. C患者に同意書へ署名してもらうこと
4. D手術を始める前に手術チームが少し休むこと

利尿薬を使用している転倒リスクの高い患者が、夜間によく起き上がります。最も有効な対策はどれですか？

1. A眠れるように、夜間は部屋を真っ暗にしておく
2. B時間を決めた排泄誘導を行い、ナースコールと歩行補助具を手の届く所に置く
3. C夜間に効くよう、利尿薬を就寝時に投与する
4. D昼食後は何も飲まないよう患者に伝える

A nurse has just given an intramuscular injection with a safety needle. What should the nurse do next with the needle?

1. ARecap it carefully with both hands and dispose of it after the drug round
2. BLay it on the medication tray and discard it later
3. CActivate the safety device and drop it into a sharps container at once
4. DBend the needle to make it unusable, then discard it

A parent calls because a toddler has swallowed some household cleaner. The child is awake and breathing normally. What should the nurse advise first?

1. AWait to see whether any symptoms develop over the next day
2. BGive syrup of ipecac from the medicine cabinet
3. CMake the child vomit, using a finger at the back of the throat
4. DContact the local poison advice service now for specific advice

A competent adult patient with pneumonia wants to leave the hospital against medical advice. What should the nurse do?

1. ALock the doors so the patient cannot leave
2. BHide the patient’s clothes and belongings so that they cannot leave the ward
3. CExplain the risks, notify the provider and follow the policy for leaving against advice
4. DApply wrist restraints until the provider arrives to speak with the patient

A patient has signed a surgical consent form but tells the nurse, “I don’t really understand what they are going to do.” What should the nurse do?

1. AReassure the patient that the surgeon knows best and continue with the preparation
2. BExplain the risks and benefits in place of the surgeon
3. CGive the preoperative sedative so the patient relaxes
4. DInform the surgeon so the procedure can be explained again before any sedation