解答つき優先順位の決定と委任ワークシート

無料で印刷できる優先順位の決定と委任のワークシート：やさしい問題から試験レベルまで 8 問、解答つき。印刷するか PDF で保存できます。

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名前: ____________________   日付: ____________

1.やさしい

Where is intramuscular epinephrine usually injected for anaphylaxis?

  1. AA vein in the hand
  2. BThe abdomen under the skin
  3. CThe outer middle thigh
  4. DThe buttock
2.やさしい

Which laboratory finding is expected in a patient with chronic kidney disease who receives dialysis?

  1. AA raised serum creatinine
  2. BA low serum creatinine
  3. CA serum sodium of 160 mEq/L
  4. DA platelet count of 900,000/mm³
3.やさしい

What is the main purpose of an incident report?

  1. ATo improve safety by finding out why events happen
  2. BTo replace the nurse’s notes in the patient’s record
  3. CTo decide which staff member should be punished
  4. DTo inform the patient’s insurance company
4.ふつう

A patient has a serum potassium of 2.9 mEq/L. Which finding should the nurse expect?

  1. ATall, peaked T waves and muscle twitching
  2. BFlushed, warm skin and a slow heart rate
  3. CMuscle weakness and U waves on the ECG
  4. DA rise in urine output and thirst only
5.ふつう

On day 3 after hip surgery, a patient suddenly becomes short of breath with sharp chest pain and an SpO₂ of 88%. What should the nurse do first?

  1. AGive the next dose of oral analgesia and reassess the patient in an hour
  2. BEncourage the patient to walk to improve the circulation
  3. CMassage the patient’s calves to ease any muscle cramp
  4. DRaise the head of the bed, give oxygen and call for urgent help
6.ふつう

A patient has a serum potassium of 6.8 mEq/L. Which action comes first?

  1. AEncourage foods high in potassium
  2. BPlace the patient on a cardiac monitor
  3. CRecheck the level next week
  4. DGive the patient’s scheduled potassium supplement
7.むずかしい

Four laboratory results come back at once. Which one should the nurse report first?

  1. APotassium 3.4 mEq/L in a patient on a diuretic
  2. BCreatinine 1.3 mg/dL in an older adult, unchanged from last week
  3. CGlucose 180 mg/dL after a meal in a patient with diabetes
  4. DHemoglobin 6.5 g/dL (65 g/L) in a patient with a GI bleed
8.むずかしい

A patient with MRSA in a wound is on contact precautions. Which instruction to the nursing assistant is correct?

  1. AWear a respirator mask in the room, because MRSA in a wound spreads through the air to others
  2. BWear a gown and gloves for contact with the patient or the room, and use dedicated equipment
  3. COnly wear gloves when touching the wound itself; skin and bedding are safe
  4. DNo special precautions are needed if the wound is covered with a dressing

解答

  1. 1. C · The outer middle thigh
  2. 2. A · A raised serum creatinine
  3. 3. A · To improve safety by finding out why events happen
  4. 4. C · Muscle weakness and U waves on the ECG
  5. 5. D · Raise the head of the bed, give oxygen and call for urgent help
  6. 6. B · Place the patient on a cardiac monitor
  7. 7. D · Hemoglobin 6.5 g/dL (65 g/L) in a patient with a GI bleed
  8. 8. B · Wear a gown and gloves for contact with the patient or the room, and use dedicated equipment

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