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

Which patient is unstable?

  1. AA patient with long-standing arthritis pain of 3/10
  2. BA patient with a healing leg wound and normal vital signs this morning
  3. CA patient waiting for a planned hip X-ray
  4. DA patient with a new irregular pulse who says they feel dizzy
2.やさしい

Which finding is one of the quick SOFA (qSOFA) criteria for possible sepsis?

  1. ARespiratory rate of 22/min or more
  2. BTemperature below 36.5 °C on one reading
  3. CBlood glucose above 100 mg/dL
  4. DHeart rate below 60/min
3.やさしい

What is the main purpose of an incident report?

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

Two hours after birth, the nurse finds the uterus firm but above the umbilicus and pushed to the right. What should the nurse do first?

  1. AHelp the patient empty her bladder
  2. BMassage the uterus firmly for ten minutes
  3. CGive a dose of oxytocin straight away
  4. DAsk the patient to lie still for another hour
5.ふつう

A patient with asthma has two inhalers: a corticosteroid and salbutamol (albuterol). Which statement shows a need for further teaching?

  1. A“I will use my steroid inhaler when I have a sudden attack.”
  2. B“I will rinse my mouth after using the steroid inhaler.”
  3. C“I will carry my salbutamol inhaler with me.”
  4. D“I will use my steroid inhaler every day, even when I feel well.”
6.ふつう

看護師が、明らかに小さすぎるカフで血圧を測定している看護助手を見かけました。看護師はどうすべきですか？

  1. A1 回の高い値は問題にならないので、無視する
  2. Bその日は助手を患者ケアから外す
  3. C助手の次回の年次評価のときに伝える
  4. Dすぐに介入し、やり方をさりげなく正して、再測定する
7.むずかしい

An adult choking on food is coughing forcefully and can speak a little. What should the nurse do?

  1. AEncourage the patient to keep coughing and stay with them
  2. BSweep the mouth blindly with a finger
  3. CGive the patient water to wash the food down
  4. DGive abdominal thrusts straight away until the food comes out
8.むずかしい

An 85-year-old resident becomes newly confused and is falling, but has no fever. Which cause should the nurse consider first?

  1. AA sudden worsening of long-standing dementia that needs no tests
  2. BAn infection, such as a urinary tract infection, presenting atypically
  3. CBoredom from not having enough activities
  4. DNormal aging that needs no assessment

解答

  1. 1. D · A patient with a new irregular pulse who says they feel dizzy
  2. 2. A · Respiratory rate of 22/min or more
  3. 3. C · To improve safety by finding out why events happen
  4. 4. A · Help the patient empty her bladder
  5. 5. A · “I will use my steroid inhaler when I have a sudden attack.”
  6. 6. D · すぐに介入し、やり方をさりげなく正して、再測定する
  7. 7. A · Encourage the patient to keep coughing and stay with them
  8. 8. B · An infection, such as a urinary tract infection, presenting atypically

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