解答つき感染管理と患者の安全ワークシート

What is respiratory hygiene, or cough etiquette?

1. ATaking an antibiotic at the first sign of a cough
2. BCoughing into the hands, then wiping them on clothing
3. CWearing an N95 respirator at all times whenever you have a cough
4. DCovering coughs with a tissue or the elbow, then cleaning the hands

Which procedure requires surgical asepsis (sterile technique)?

1. AGiving an oral medication through the mouth
2. BMeasuring blood pressure on the upper arm
3. CGiving a bed bath
4. DInserting an indwelling urinary catheter

A culture and sensitivity report says the organism is “sensitive” to an antibiotic. What does this mean?

1. AThe organism causes an allergic reaction to the drug
2. BThe patient is allergic to the antibiotic and should not be given it
3. CThe antibiotic is expected to stop the organism growing
4. DThe organism has become resistant to the antibiotic

Which nursing care reduces the risk of ventilator-associated pneumonia?

1. AChanging the ventilator circuit every few hours
2. BLying the patient flat for most of the day
3. CRegular oral care to reduce bacteria in the mouth
4. DLeaving secretions in the mouth to protect the airway

Which toy is safest for a toddler?

1. AA bag of marbles to sort by color
2. BA toy with small magnets that come out easily
3. CA balloon to play with when an adult is out of the room
4. DA large toy with no small parts that can come off

Which measure is part of the bundle for inserting a central venous catheter to prevent bloodstream infection?

1. AChoosing the femoral vein as the first site in adults
2. BRoutine replacement of the catheter on a fixed schedule, such as every three days
3. CChlorhexidine-alcohol skin antisepsis and maximal sterile barrier precautions
4. DGiving antibiotics to every patient before insertion

手書きの指示に「10U regular insulin subcut now」とあります。看護師の最善の対応はどれですか？

1. A疑問を持たず、書かれたとおり10単位を与える
2. B看護助手に筆跡を解読してもらう
3. C「U」は読み間違えられるおそれがあるため、指示を確認する
4. D指示がそう読めるので、100単位を与える

手首を抑制された混乱している患者の片手の指が冷たく蒼白で、同じ側の橈骨動脈の拍動が弱くなっています。看護師が最初にすべきことは何ですか？

1. A所見を丁寧に記録し、2時間後に再確認する
2. B抑制具はそのままにして、枕の上に手を上げる
3. C患者が引っ張らないよう、もう一方の抑制具を締める
4. Dその抑制具をゆるめ、手の循環をアセスメントする