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

Which statement about the nursing process is correct when setting priorities?

  1. AEvaluation comes first, before any patient data have been collected
  2. BPlanning comes first, before seeing the patient
  3. CAssessment comes first, because the other steps depend on it
  4. DImplementation comes first, so care starts quickly
2.やさしい

Which symptoms suggest high blood glucose (hyperglycemia)?

  1. ASudden hunger with cold, clammy skin
  2. BConfusion that improves quickly with juice
  3. CIncreased thirst and passing more urine
  4. DSweating, shaking and a fast pulse
3.やさしい

Which patient need belongs to the love and belonging level of Maslow’s hierarchy?

  1. AWanting family members to visit
  2. BNeeding pain relief after surgery
  3. CWanting praise for progress in rehabilitation
  4. DNeeding the call light within reach
4.ふつう

バイタルサインが正常な安定した成人が、手の切り傷で縫合が必要ですが、ほかには何も必要ありません。どの ESI レベルが当てはまりますか？

  1. Aレベル 3
  2. Bレベル 4
  3. Cレベル 5
  4. Dレベル 2
5.ふつう

Which action helps prevent a catheter-associated urinary tract infection?

  1. ARaising the drainage bag above the bladder when walking
  2. BKeeping the drainage bag below the level of the bladder
  3. CDisconnecting the bag every shift to empty it
  4. DLeaving the catheter in place longer than needed
6.ふつう

A patient is booked for a CT scan with iodinated contrast. Which of the patient’s medications may need to be held according to protocol?

  1. AOmeprazole
  2. BMetformin
  3. CAcetaminophen (paracetamol)
  4. DLevothyroxine
7.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 abdominal thrusts straight away until the food comes out
  2. BSweep the mouth blindly with a finger
  3. CEncourage the patient to keep coughing and stay with them
  4. DGive the patient water to wash the food down
8.むずかしい

A trauma patient has an open leg fracture, absent breath sounds on one side, a trachea shifted to the other side and a falling blood pressure. Which problem is the priority?

  1. AThe pain from the fracture
  2. BThe open fracture of the leg
  3. CThe risk of wound infection
  4. DThe suspected tension pneumothorax

解答

  1. 1. C · Assessment comes first, because the other steps depend on it
  2. 2. C · Increased thirst and passing more urine
  3. 3. A · Wanting family members to visit
  4. 4. B · レベル 4
  5. 5. B · Keeping the drainage bag below the level of the bladder
  6. 6. B · Metformin
  7. 7. C · Encourage the patient to keep coughing and stay with them
  8. 8. D · The suspected tension pneumothorax

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