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

大量傷病者のトリアージで、緑のタグは通常どの区分を示しますか?

  1. A待機可能:重傷だが当面は安定している傷病者
  2. B最優先:直ちに処置が必要
  3. C死亡または救命困難
  4. D軽傷:歩行可能な負傷者
2.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状態が変化している、または予測しにくい患者
  2. B糖尿病などの長期の病気がある患者
  3. C明日の手術に不安を感じ、涙ぐんでいる患者
  4. D5 種類を超える薬を服用している患者
3.やさしい

What is the CIWA scale used to assess?

  1. AThe depth of a burn wound
  2. BThe risk of a pressure injury
  3. CThe severity of alcohol withdrawal
  4. DThe severity of a newborn’s jaundice
4.ふつう

A nurse teaches a patient who uses home oxygen. Which statement shows a need for further teaching?

  1. A“I will not use oil-based creams on my face.”
  2. B“My husband can smoke in my room if the window is open.”
  3. C“I will keep the oxygen away from the gas stove.”
  4. D“I will put up no-smoking signs at the front door and in my room.”
5.ふつう

A patient with schizophrenia says voices are telling him to hurt his roommate. What is the priority?

  1. AIgnore the comment, because voices are part of his illness
  2. BTell him the voices are not real and leave him alone
  3. CAsk the roommate to stay in the room with him and help calm him down
  4. DKeep everyone safe and tell the team, as the risk of harm is high
6.ふつう

A patient with a valid do-not-resuscitate order (DNR; called DNACPR in the UK) stops breathing and has no pulse. What should the nurse do?

  1. AStart CPR and stop when the family arrives
  2. BStart chest compressions but not rescue breaths
  3. CFollow the DNR order and do not start CPR
  4. DCall the cardiac arrest team and let them decide
7.むずかしい

After a vaginal birth, the uterus is firm and central, but bright red blood keeps trickling steadily. What should the nurse suspect?

  1. AA full bladder pushing the uterus aside
  2. BNormal lochia for the first hour
  3. CUterine atony that needs more massage
  4. DA tear in the birth canal or cervix
8.むずかしい

An adult choking on food is coughing forcefully and can speak a little. What should the nurse do?

  1. AGive the patient water to wash the food down
  2. BGive abdominal thrusts straight away until the food comes out
  3. CEncourage the patient to keep coughing and stay with them
  4. DSweep the mouth blindly with a finger

解答

  1. 1. D · 軽傷:歩行可能な負傷者
  2. 2. A · 状態が変化している、または予測しにくい患者
  3. 3. C · The severity of alcohol withdrawal
  4. 4. B · “My husband can smoke in my room if the window is open.”
  5. 5. D · Keep everyone safe and tell the team, as the risk of harm is high
  6. 6. C · Follow the DNR order and do not start CPR
  7. 7. D · A tear in the birth canal or cervix
  8. 8. C · Encourage the patient to keep coughing and stay with them

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