解答つき優先順位の決定と委任ワークシート

Which platelet count is within the normal adult range?

1. A700,000/mm³ (700 × 10⁹/L)
2. B40,000/mm³ (40 × 10⁹/L)
3. C250,000/mm³ (250 × 10⁹/L)
4. D90,000/mm³ (90 × 10⁹/L)

What is the purpose of an early warning score, such as the National Early Warning Score (NEWS)?

1. ATo calculate the correct drug doses for each patient
2. BTo decide the patient’s diet
3. CTo measure the patient’s satisfaction with care
4. DTo spot deterioration early from routine vital signs

What is the usual adult reference range for serum potassium?

1. AAbout 1.5–2.5 mEq/L
2. BAbout 3.5–5.0 mEq/L
3. CAbout 6.0–8.0 mEq/L
4. DAbout 135–145 mEq/L

An anxious patient is breathing very fast and has tingling fingers. The blood gas shows pH 7.51 and PaCO₂ 29 mmHg (3.9 kPa). What should the nurse do first?

1. AEncourage the patient to breathe even faster
2. BStay with the patient and coach slow, calm breathing
3. CGive IV sodium bicarbonate as soon as it can be found
4. DGive oxygen at the highest flow and leave the room

A patient with severe neutropenia needs a room. Which roommate is the safest choice?

1. AA patient with influenza
2. BA patient with C. difficile diarrhea
3. CA patient with an infected, draining leg wound
4. DA patient after a knee replacement with no signs of infection

A woman calls to say her husband suddenly has a drooping face and slurred speech. What should the nurse advise?

1. ADrive him to the hospital yourself after he has eaten dinner
2. BCall emergency services now and note the time it started
3. CBook an appointment with his doctor next week
4. DLet him lie down and see if it improves

肺炎の高齢の患者が、新たに錯乱しています。最初に行うことはどれですか？

1. Aこれが患者にとって普通のことかどうか、家族に尋ねる
2. B患者が点滴を引っ張らないよう、手首を抑制する
3. C頓用の鎮静薬を投与する
4. D酸素飽和度とほかのバイタルサインを確認する

A medical-unit nurse is floated to intensive care and given a patient on a ventilator, which the nurse has never managed. What is the best response?

1. AAccept the full assignment without comment to avoid conflict
2. BLeave the intensive care unit and go back to the medical unit without telling anyone
3. CRefuse to work and go home, because the assignment is unsafe
4. DTell the charge nurse about the gap, accept tasks within competence and ask for support