解答つき優先順位の決定と委任ワークシート

看護における委任を最もよく表す記述はどれですか？

1. A患者についてのすべての責任と説明責任を、他の人に引き渡す
2. B看護師が忙しくてできない業務を、医師に引き継いでもらうよう頼む
3. C能力のある人に、選ばれた業務を行う権限を与え、看護師は責任を負い続ける
4. D自分の役割の範囲外だとして、業務を断る

What does NPO mean on a patient’s care plan?

1. ANormal patient observations
2. BNot for physical therapy
3. CNothing by mouth
4. DNo pain observed

Which drug is used to reverse the effect of warfarin?

1. ANaloxone
2. BFlumazenil
3. CVitamin K
4. DProtamine sulfate

On a postpartum unit, which patient is the most appropriate to assign to an LPN/LVN?

1. ADay 1 after an uncomplicated vaginal birth, stable vital signs
2. BSevere pre-eclampsia on a magnesium sulfate infusion
3. COne hour after birth with heavy bleeding and a boggy uterus
4. DA new admission transferred from the labor ward with a fever of 38.6 °C

A patient has a nasogastric tube on suction. Which task can the nurse delegate to a nursing assistant?

1. AIrrigating the tube when it blocks
2. BAssessing the drainage for blood
3. CChecking the tube’s position
4. DGiving mouth care

On a pediatric unit, which child does the nurse assess first?

1. AA child with croup who has a barking cough but no stridor at rest
2. BA child with a temperature of 38.2 °C after vaccination
3. CA child in a new arm cast with pink, warm fingers and pain of 5/10
4. DA child with asthma who is now quiet with very little air movement

An adult has burns over 40% of the body with no signs of airway injury. Which treatment is the priority during the first hours?

1. AApplying antibiotic cream to all the burns before anything else
2. BGiving a high-protein meal to support healing
3. CStarting physiotherapy to prevent contractures straight away
4. DLarge-volume IV fluids with close monitoring of urine output

大きな手術の後の患者の尿量が 2 時間にわたって 15 mL/時で、心拍数が 115 回/分、手が冷たいです。看護師が最初にすべきことは何ですか？

1. A尿量が改善するかどうか、さらに 2 時間待つ
2. B出血などのショックの徴候をアセスメントし、エスカレーションする
3. C水をもっと飲むよう勧め、あとで再確認する
4. Dカテーテルをフラッシュし、明日の朝に尿量を再確認する