解答つき優先順位の決定と委任ワークシート

優先順位の一般原則として正しいのはどれですか？

1. A局所の問題は、通常、全身性の問題より先に扱う
2. B全身性の問題は、通常、局所の問題より先に扱う
3. C簡単に解決できる問題が常に先である
4. D心理的な問題は、常に身体的な問題より先に扱う

In delegation, what does supervision mean?

1. ASigning the delegate’s documentation without checking it
2. BGuidance, follow-up and evaluation of the delegated task by the nurse
3. CLeaving the delegate to finish without any contact
4. DDoing every delegated task yourself to make sure that it is done right

For a patient with a suspected heart attack and no contraindications, which drug is usually given early?

1. AAspirin, chewed
2. BCodeine
3. CAcetaminophen (paracetamol)
4. DIbuprofen

A patient has a reddened area on the sacrum that does not blanch when pressed. What is the priority action?

1. AMassage the area firmly to improve the blood flow to the skin
2. BApply a heat pad to the area to increase circulation
3. CKeep the patient lying on the back to protect the area
4. DRelieve pressure on the area by changing position regularly

A nurse needs to give report on a patient to a colleague. Which information is the most important to include?

1. AThe patient’s current condition, recent changes and pending tasks
2. BDetails of the nurse’s own break times that shift
3. CPersonal opinions about the patient’s family members and their visiting habits
4. DThe patient’s favorite television programs and hobbies

A patient receiving IV magnesium sulfate for pre-eclampsia has absent knee reflexes and a respiratory rate of 10/min. What does the nurse do first?

1. AIncrease the infusion to prevent a seizure
2. BStop the magnesium infusion and call for help
3. CTurn the patient onto her back and recheck later
4. DGive oral fluids to help clear the drug faster

After a vaginal birth, the uterus is firm and central, but bright red blood keeps trickling steadily. What should the nurse suspect?

1. AUterine atony that needs more massage
2. BA tear in the birth canal or cervix
3. CNormal lochia for the first hour
4. DA full bladder pushing the uterus aside

On a cardiac step-down unit, which patient should the nurse assess first?

1. AAtrial fibrillation on warfarin with an INR of 2.6 this morning
2. BDay 2 after a pacemaker insertion, asking when the wound dressing will be changed
3. CSix hours after a coronary stent, new chest pain with ST elevation on the monitor
4. DHeart failure, weight up 0.5 kg since yesterday, no breathlessness at rest