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 statement belongs in the Background part of an SBAR report?

  1. A“I am calling about Mr Khan because his blood pressure has dropped.”
  2. B“He was admitted three days ago with pneumonia and also has COPD.”
  3. C“I would like you to see him within the next 15 minutes.”
  4. D“I think he may be developing sepsis.”
2.やさしい

A patient’s respiratory rate is 30/min at rest. How should the nurse classify this finding in an adult?

  1. ANormal after a meal
  2. BAbnormally fast and needing assessment
  3. CWithin the normal adult range
  4. DSlow, and expected while the patient is asleep
3.やさしい

Which protective equipment is needed for airborne precautions?

  1. AGloves only
  2. BA simple surgical mask worn loosely
  3. CA fit-tested N95 or FFP3 respirator
  4. DA plastic apron only
4.ふつう

看護師が最初に診るべき患者はどれですか？

  1. A30 分前から、新たに呂律が回らず、顔がゆがんでいる患者
  2. B食事について尋ねている、2 型糖尿病の患者
  3. C明日透析を予定している慢性腎臓病の患者
  4. D長年の関節リウマチがあり、いつもの朝のこわばりがある患者
5.ふつう

A nurse teaches a patient with COPD pursed-lip breathing. Which statement shows a need for further teaching?

  1. A“I will breathe out slowly through pursed lips.”
  2. B“I will make my breath out about twice as long as my breath in.”
  3. C“I will breathe in slowly through my nose.”
  4. D“I will breathe in through my mouth and out quickly through my nose.”
6.ふつう

After a hip replacement using a posterior approach, which statement shows a need for further teaching?

  1. A“I will keep a pillow between my knees when I lie on my side in bed.”
  2. B“I will cross my legs when I sit, so I am more comfortable.”
  3. C“I will not bend my hip past 90 degrees.”
  4. D“I will use a raised toilet seat at home.”
7.むずかしい

A patient at 34 weeks of pregnancy has painless, bright red vaginal bleeding. Which action should the nurse avoid?

  1. AA vaginal examination
  2. BMeasuring the blood pressure and pulse
  3. CMonitoring the fetal heart rate
  4. DWeighing the pads to estimate blood loss
8.むずかしい

持続的な経管栄養の最中に、患者が突然咳き込み、息苦しくなり、SpO₂ が低下しました。看護師の最初の行動は何ですか？

  1. A栄養を止め、患者を座位にして、呼吸をアセスメントする
  2. B休めるように、患者を平らに寝かせる
  3. Cチューブを水 50 mL でフラッシュして、そのまま栄養を続ける
  4. D早く終わるように、栄養の速度を上げる

解答

  1. 1. B · “He was admitted three days ago with pneumonia and also has COPD.”
  2. 2. B · Abnormally fast and needing assessment
  3. 3. C · A fit-tested N95 or FFP3 respirator
  4. 4. A · 30 分前から、新たに呂律が回らず、顔がゆがんでいる患者
  5. 5. D · “I will breathe in through my mouth and out quickly through my nose.”
  6. 6. B · “I will cross my legs when I sit, so I am more comfortable.”
  7. 7. A · A vaginal examination
  8. 8. A · 栄養を止め、患者を座位にして、呼吸をアセスメントする

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