解答つき優先順位の決定と委任ワークシート

Using the RACE fire response, what does the nurse do first when finding a fire in a patient’s room?

1. APull the fire alarm
2. BUse an extinguisher on the fire
3. CClose doors to contain the fire and smoke
4. DRescue patients in immediate danger

Which drug is used to reverse the effect of warfarin?

1. AVitamin K
2. BProtamine sulfate
3. CFlumazenil
4. DNaloxone

Which triage method is designed for children in mass-casualty incidents?

1. AJumpSTART
2. BThe Braden Scale
3. CThe APGAR score
4. DThe Glasgow Coma Scale

Before giving a scheduled dose of metoprolol, which assessment is most important?

1. ABowel sounds and urine color
2. BTemperature and the latest pain score
3. CApical pulse and blood pressure
4. DBlood glucose and weight

Several patients on a gastroenterology unit need care. Which patient should the nurse see first?

1. ALong-standing back pain, asking for the usual analgesic
2. BCrohn disease, waiting to be taken down for a scheduled CT scan
3. CTwo hours after a colonoscopy: rigid abdomen and severe new pain
4. DUlcerative colitis, asking about diet changes for home

内科の混合病棟で、看護師が最初に診るべき患者はどれですか？

1. A明日の退院についての書面の情報を求めている患者
2. B持ち物を人にあげ、自殺の計画をもっている、うつ病の患者
3. Cアセトアミノフェンを求めている、軽い緊張型頭痛の患者
4. D血圧が 136/84 mmHg の高血圧の患者

A patient has a new spinal cord injury at C4. Which assessment is the priority?

1. ABowel sounds in all four abdominal quadrants
2. BAbility to feed themselves
3. CSkin over the sacrum and heels
4. DBreathing effort and ability to cough

看護師が新しい看護助手を監督しています。看護師が助手の仕事を最も綿密に確認すべきなのは、いつですか？

1. A助手はその役割の資格をもっているので、確認しない
2. B助手がその業務に慣れていない、または患者の状態が不安定なとき
3. C助手が、難しいと感じる業務の助けを求めたときだけ
4. D記録が見直される勤務終了時だけ