1.やさしい
Which basic fall-prevention measure applies to every patient?
- AUse wrist restraints at night for every patient
- BKeep the room dark at all times so the patient rests
- CKeep the call light (call bell) and personal items within easy reach
- DRaise all four side rails whenever the patient is in bed
2.やさしい
Which of these counts as a physical restraint?
- APlacing the bed in its lowest position
- BUsing a gait belt while helping a patient walk in the corridor
- CUsing a bed exit alarm for a patient at high risk of falling at night
- DRaising all four side rails to stop a patient from getting out of bed
3.やさしい
標準予防策に含まれる対応はどれですか?
- A行う処置にかかわらず、すべての患者との接触でガウンとマスクを着用する
- Bすべての患者との接触でN95マスクを着用する
- C血液や体液との接触が予想されるときに手袋を着用する
- Dすべての患者を陰圧室に入れる
4.ふつう
A patient has botulism after eating contaminated food. Which precautions are needed?
- AStandard precautions
- BContact precautions
- CDroplet precautions
- DAirborne precautions
5.ふつう
A family member will visit a patient on contact precautions. What should the nurse do?
- AAsk them to wear an N95 respirator only, with no gown or gloves
- BShow them how to use the gown and gloves and how to clean their hands
- CTell them visits are not allowed at all
- DTell them precautions only apply to staff
6.ふつう
Where should the drainage bag of an indwelling urinary catheter be kept?
- ABelow the level of the bladder and off the floor
- BHung on the IV pole above the patient
- COn the floor under the bed, where it is out of the way
- DOn the bed next to the patient’s hip
7.むずかしい
A patient punches a nurse during care. The nurse is not seriously hurt. What should the nurse do?
- APunch the patient back in self-defense
- BSay nothing, because violence is part of the job
- CGet medical assessment and report the assault according to policy
- DRefuse to care for any patient for the rest of the week until the patient is moved
8.むずかしい
An 82-year-old patient is prescribed diphenhydramine at bedtime for sleep. Why should the nurse raise this with the prescriber?
- AIt raises blood pressure in most older adults
- BIt is too weak to help an older person sleep
- CIt is only available as an IV drug and cannot be given by mouth at bedtime
- DIt is strongly anticholinergic and can cause confusion and falls in older adults
解答
- 1. C · Keep the call light (call bell) and personal items within easy reach
- 2. D · Raising all four side rails to stop a patient from getting out of bed
- 3. C · 血液や体液との接触が予想されるときに手袋を着用する
- 4. A · Standard precautions
- 5. B · Show them how to use the gown and gloves and how to clean their hands
- 6. A · Below the level of the bladder and off the floor
- 7. C · Get medical assessment and report the assault according to policy
- 8. D · It is strongly anticholinergic and can cause confusion and falls in older adults
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