解答つき優先順位の決定と委任ワークシート

Which hemoglobin result is low for an adult woman?

1. A12.6 g/dL (126 g/L)
2. B7.8 g/dL (78 g/L)
3. C13.2 g/dL (132 g/L)
4. D14.0 g/dL (140 g/L)

Which protective equipment is needed for droplet precautions?

1. AGloves only, with no mask
2. BA fitted N95 respirator at all times in the room
3. CA lead apron and goggles
4. DA surgical mask when close to the patient

In Maslow’s hierarchy of needs, which level sits at the top?

1. ALove and belonging
2. BSelf-actualization
3. CSafety and security
4. DEsteem

Using the Emergency Severity Index, which level fits a 70-year-old with chest pressure that suggests a heart attack, but normal vital signs?

1. ALevel 2
2. BLevel 1
3. CLevel 4
4. DLevel 5

A patient with angina is taught to use sublingual nitroglycerin (GTN). Which statement shows a need for further teaching?

1. A“I will sit or lie down when I take a tablet.”
2. B“If the pain has not eased as my action plan says, I will call emergency services.”
3. C“I will carry the tablets with me when I go out.”
4. D“I will take five tablets one after the other before I call for help.”

A conscious patient with hypoglycemia drank juice 15 minutes ago. The glucose is now 62 mg/dL (3.4 mmol/L). What should the nurse do next?

1. AWait another hour, because juice can take a long time to work
2. BRecord the result and recheck the glucose at the usual time before the evening meal
3. CGive the next scheduled dose of rapid-acting insulin with the meal
4. DGive another serving of fast-acting carbohydrate and recheck in 15 minutes

看護師が最初に対応すべき看護助手の報告はどれですか？

1. A肺炎の患者が黄色い痰を出した
2. B今朝の腰椎固定術の後、脚の感覚がなく動かせない
3. C安静臥床の患者が、便器を求めている
4. D糖尿病の患者が、いつもどおり足がよくピリピリすると言う

A patient with SIADH has a serum sodium of 120 mEq/L and is newly confused. Which nursing action has priority?

1. ATeaching the patient about a low-sodium diet at home
2. BEncouraging the patient to drink plenty of water
3. CSeizure precautions and close neurological checks
4. DHelping the patient to walk in the corridor alone