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

優先順位の問題で、「不安定な」患者とはどういう意味ですか？

  1. A明日の手術に不安を感じ、涙ぐんでいる患者
  2. B状態が変化している、または予測しにくい患者
  3. C5 種類を超える薬を服用している患者
  4. D糖尿病などの長期の病気がある患者
2.やさしい

In the FAST stroke check, what does the T stand for?

  1. ATremor of the hands
  2. BTime to call emergency services
  3. CTongue movement
  4. DTemperature
3.やさしい

Which task is appropriate to delegate to a nursing assistant?

  1. AAssessing a pressure injury on the sacrum
  2. BGiving a stable patient their oral medications
  3. CFeeding a patient with newly diagnosed dysphagia after a stroke
  4. DFeeding a stable patient who has no swallowing problems
4.ふつう

看護助手が、患者の血圧が 168/98 mmHg（先ほどは 130/80）で、頭痛があると報告しました。RN はどうすべきですか？

  1. A頓用の降圧薬を今すぐ投与するよう助手に頼む
  2. B1 時間後に血圧を再測定して報告するよう助手に頼む
  3. C患者をアセスメントし、血圧を再測定して、症状を調べる
  4. D値を記録し、与薬ラウンドを続ける
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 carry my salbutamol inhaler with me.”
  2. B“I will use my steroid inhaler every day, even when I feel well.”
  3. C“I will rinse my mouth after using the steroid inhaler.”
  4. D“I will use my steroid inhaler when I have a sudden attack.”
6.ふつう

A patient receiving chemotherapy has a temperature of 38.3 °C and a very low neutrophil count. What should the nurse do?

  1. ADocument the reading and mention it at the next handover
  2. BGive a cool shower and offer extra fluids, then wait and see what happens
  3. CReport it at once, because cultures and antibiotics are needed quickly
  4. DRecheck the temperature in four hours before telling anyone
7.むずかしい

A patient with diabetic ketoacidosis is about to start an IV insulin infusion. The serum potassium is 3.0 mEq/L. What should the nurse do?

  1. AStart the insulin at once, because the glucose is the bigger problem
  2. BIgnore the result, since potassium is always high in this condition and will correct itself
  3. CReport the result before starting, because insulin will push potassium even lower
  4. DGive the insulin as a fast bolus to bring the potassium up
8.むずかしい

A patient in hypovolemic shock is receiving IV fluids. Which finding best shows that the treatment is working?

  1. AUrine output at least 0.5 mL/kg/h and clearer thinking
  2. BCooler, paler skin on the arms and legs
  3. CNew crackles at both lung bases
  4. DA heart rate that keeps rising after each bag of fluid

解答

  1. 1. B · 状態が変化している、または予測しにくい患者
  2. 2. B · Time to call emergency services
  3. 3. D · Feeding a stable patient who has no swallowing problems
  4. 4. C · 患者をアセスメントし、血圧を再測定して、症状を調べる
  5. 5. D · “I will use my steroid inhaler when I have a sudden attack.”
  6. 6. C · Report it at once, because cultures and antibiotics are needed quickly
  7. 7. C · Report the result before starting, because insulin will push potassium even lower
  8. 8. A · Urine output at least 0.5 mL/kg/h and clearer thinking

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