1.やさしい
「ニアミス」とは何ですか?
- A患者に届いて重大な害を与えた誤り
- B患者に届く前に発見された誤り
- C患者や家族からの苦情
- Dしばらく遅れて行われた正しい行為
2.やさしい
What is seclusion?
- AClosing the curtains during personal care
- BPlacing a patient on contact precautions in a single room with the door closed
- CKeeping a patient alone in a room or area that they are prevented from leaving
- DMoving a patient to a private room at their request
3.やさしい
Which lab value commonly rises with inflammation and infection?
- ASerum albumin
- BC-reactive protein (CRP)
- CHemoglobin
- DSerum sodium
4.ふつう
A patient has a very low platelet count. Which safety measure is appropriate?
- AUse a soft toothbrush and an electric razor
- BTake rectal temperatures for accuracy
- CFloss hard each day to keep the gums healthy
- DUse a firm toothbrush and a safety razor
5.ふつう
During routine handwashing with soap and water (medical asepsis), how are the hands held?
- ATouching the inside of the sink for support
- BLower than the elbows, so water runs off the fingertips
- CHigher than the elbows, so water runs down the arms
- DLevel with the shoulders, away from the sink
6.ふつう
看護師が、HIV陽性と分かっている患者から針刺し事故を受けました。直ちに報告することが重要なのはなぜですか?
- A傷から出血した場合や深い場合にだけ報告が必要だから
- B静脈内注射の針による事故のときだけ報告が必要だから
- C曝露後予防投与は、数時間以内に開始するのが最も効果的だから
- D1か月以内ならいつ報告してもリスクは変わらないから
7.むずかしい
A patient’s allergy band says “penicillin”, and an order has been written for amoxicillin. What should the nurse do?
- AAsk the patient whether they would like to take it anyway
- BGive the drug and watch the patient closely
- CHold the drug and contact the prescriber
- DGive an antihistamine first and then the drug
8.むずかしい
Patients contaminated with radioactive dust arrive at the hospital. Which step removes most of the external contamination?
- AScrubbing the skin until it is red
- BGiving the patient potassium iodide
- CRemoving the patient’s clothing
- DWrapping the patient in a blanket
解答
- 1. B · 患者に届く前に発見された誤り
- 2. C · Keeping a patient alone in a room or area that they are prevented from leaving
- 3. B · C-reactive protein (CRP)
- 4. A · Use a soft toothbrush and an electric razor
- 5. B · Lower than the elbows, so water runs off the fingertips
- 6. C · 曝露後予防投与は、数時間以内に開始するのが最も効果的だから
- 7. C · Hold the drug and contact the prescriber
- 8. C · Removing the patient’s clothing
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