解答つき優先順位の決定と委任ワークシート

What does a “PRN” medication order mean?

1. AGive the drug once only, immediately
2. BGive the drug only before surgery
3. CGive the drug at exactly the same time every single day
4. DGive the drug when needed, within the prescribed limits

Which phrase in a question usually signals a priority question?

1. A“Which term means inflammation of the liver?”
2. B“Which action should the nurse take first?”
3. C“Which bone is found in the forearm?”
4. D“Which statement describes this drug’s class?”

Where is intramuscular epinephrine usually injected for anaphylaxis?

1. AThe buttock
2. BThe abdomen under the skin
3. CA vein in the hand
4. DThe outer middle thigh

Five days after starting heparin, a patient’s platelet count has fallen by more than half. What should the nurse suspect?

1. AHeparin-induced thrombocytopenia
2. BAn expected effect that needs no action
3. CVitamin K deficiency
4. DIron deficiency anemia

A parent calls to say their toddler has just swallowed drain cleaner. What should the nurse advise?

1. AMake the child vomit straight away to bring up the chemical
2. BWait to see whether the child develops any symptoms first
3. CDo not make the child vomit; call poison control or emergency services now
4. DGive a large glass of fizzy drink or milk to dilute the cleaner before calling anyone

予測されず、速やかなフォローアップが必要な所見はどれですか？

1. Aヘパリンを点滴中の患者に、新たな黒いタール状の便が出た
2. B肝硬変が知られている患者の黄色い皮膚が、変わっていない
3. C長年の COPD の患者が樽状胸郭を呈している
4. D腹腔鏡下胆嚢手術の 1 日後の患者が、右肩の痛みを訴えている

A patient receiving comfort-focused end-of-life care is distressed by breathlessness. Which approach is most appropriate?

1. AStart a series of aggressive tests to find the exact cause of the breathlessness
2. BWithhold all opioids because they may slow breathing
3. CLeave the patient alone so they can rest
4. DGive prescribed opioids and use positioning and a fan to relieve breathlessness

A patient’s serum potassium is 6.1 mEq/L. Which of the patient’s medications should the nurse question first?

1. AFurosemide
2. BOmeprazole
3. CSpironolactone
4. DHydrochlorothiazide