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 serum sodium value is within the normal adult range?

  1. A140 mEq/L (140 mmol/L)
  2. B120 mEq/L (120 mmol/L)
  3. C152 mEq/L (152 mmol/L)
  4. D128 mEq/L (128 mmol/L)
2.やさしい

What is the CIWA scale used to assess?

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

After caring for a patient with Clostridioides difficile diarrhea, how should the nurse clean their hands?

  1. AWash with soap and water
  2. BWipe hands on a clean towel
  3. CNo hand hygiene is needed if gloves were worn
  4. DUse alcohol hand rub only
4.ふつう

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

  1. ALeaving the catheter in place longer than needed
  2. BDisconnecting the bag every shift to empty it
  3. CRaising the drainage bag above the bladder when walking
  4. DKeeping the drainage bag below the level of the bladder
5.ふつう

A drowsy patient who has just returned from surgery starts to vomit. What should the nurse do first?

  1. AGive an oral anti-sickness tablet
  2. BTurn the patient onto their side
  3. CGive a drink of water
  4. DRaise the legs above the heart
6.ふつう

A patient receiving chemotherapy has a temperature of 38.3 °C and a very low neutrophil count. What should the nurse do?

  1. ARecheck the temperature in four hours before telling anyone
  2. BGive a cool shower and offer extra fluids, then wait and see what happens
  3. CDocument the reading and mention it at the next handover
  4. DReport it at once, because cultures and antibiotics are needed quickly
7.むずかしい

A patient in hypovolemic shock is receiving IV fluids. Which finding best shows that the treatment is working?

  1. ANew crackles at both lung bases
  2. BCooler, paler skin on the arms and legs
  3. CUrine output at least 0.5 mL/kg/h and clearer thinking
  4. DA heart rate that keeps rising after each bag of fluid
8.むずかしい

患者が中心静脈ラインから静脈栄養を受けています。直ちに対応が必要な所見はどれですか？

  1. A点滴が予期せず止まったあとの、発汗、ふるえ、血糖 62 mg/dL（3.4 mmol/L）
  2. B昨日から 0.2 kg の体重増加
  3. Cラインの上の、乾いて剥がれていないドレッシング
  4. D点滴中の血糖 150 mg/dL（8.3 mmol/L）

解答

  1. 1. A · 140 mEq/L (140 mmol/L)
  2. 2. A · The severity of alcohol withdrawal
  3. 3. A · Wash with soap and water
  4. 4. D · Keeping the drainage bag below the level of the bladder
  5. 5. B · Turn the patient onto their side
  6. 6. D · Report it at once, because cultures and antibiotics are needed quickly
  7. 7. C · Urine output at least 0.5 mL/kg/h and clearer thinking
  8. 8. A · 点滴が予期せず止まったあとの、発汗、ふるえ、血糖 62 mg/dL（3.4 mmol/L）

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