1.やさしい
バンコマイシン耐性腸球菌(VRE)を保菌している患者にはどの予防策を用いますか?
- A空気予防策
- B飛沫予防策
- C接触予防策
- D防護隔離(逆隔離)
2.やさしい
In quality improvement, what does the PDSA cycle stand for?
- APlan, Do, Study, Act
- BPredict, Decide, Start, Analyze
- CPrepare, Deliver, Score, Assess
- DPlan, Document, Supervise, Audit
3.やさしい
What is a carrier in infection control?
- AA person who has recovered and is fully immune
- BA person who harbors an organism without symptoms and can pass it on
- CA sealed device used to transport specimens safely to the laboratory
- DA person who only gets infections from animals
4.ふつう
A woman who is pregnant asks for the MMR vaccine because she is not immune to rubella. What is correct?
- AMMR is a live vaccine and is not given during pregnancy, but can be given after delivery
- BMMR should be given as soon as possible in the first trimester to protect the baby
- CMMR is only given to pregnant women who work in hospitals
- DMMR is safe at any stage of pregnancy
5.ふつう
A parent will give a liquid antibiotic to a child at home. Which teaching is best?
- AUse a tablespoon for doses over 5 mL
- BUse any teaspoon or tablespoon from the kitchen drawer at home
- CEstimate the dose by pouring into a cup
- DUse the oral syringe or dosing cup that comes with the medicine
6.ふつう
A patient is on suicide precautions. Which room safety measure is appropriate?
- AAllow glass bottles if the patient seems calm
- BLet the patient keep a personal razor for shaving, as long as staff are told
- CRemove items that could be used for self-harm, such as belts and cords
- DKeep the door closed at all times so the patient has privacy
7.むずかしい
看護師が、患者の輸液ポンプの速度が処方の10倍に設定されていることに気づきました。患者は元気そうに見えます。最初の対応は何ですか?
- A輸液を止めるか修正し、その後に患者をアセスメントする
- B副作用が出るかどうか様子を見る
- C速度はそのままにして、所見を記録に残す
- D患者に普段と違う感じがあるか尋ね、続ける
8.むずかしい
A nurse has raised a safety concern about an order with the prescriber, who dismissed it without addressing it. What should the nurse do next?
- ACarry out the order as written, because the prescriber has heard the concern
- BRefuse to care for the patient for the rest of the shift until the prescriber apologizes
- CDiscuss the concern with the patient and let them decide
- DState the concern clearly a second time and, if still unresolved, use the chain of command
解答
- 1. C · 接触予防策
- 2. A · Plan, Do, Study, Act
- 3. B · A person who harbors an organism without symptoms and can pass it on
- 4. A · MMR is a live vaccine and is not given during pregnancy, but can be given after delivery
- 5. D · Use the oral syringe or dosing cup that comes with the medicine
- 6. C · Remove items that could be used for self-harm, such as belts and cords
- 7. A · 輸液を止めるか修正し、その後に患者をアセスメントする
- 8. D · State the concern clearly a second time and, if still unresolved, use the chain of command
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