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

ほかの条件が同じなら、通常、どの問題が優先されますか？

  1. A家族が最も心配している問題
  2. B解決に最も時間がかからない問題
  3. C新たに生じた急性の問題
  4. D患者の生活への影響が大きいので、長く続く慢性の問題
2.やさしい

A patient’s respiratory rate is 30/min at rest. How should the nurse classify this finding in an adult?

  1. AAbnormally fast and needing assessment
  2. BSlow, and expected while the patient is asleep
  3. CNormal after a meal
  4. DWithin the normal adult range
3.やさしい

In nursing management, what is an “assignment”?

  1. AAsking a colleague to do a task outside their usual scope
  2. BGiving staff care activities that are within their own role and scope
  3. CA written order from a prescriber for a treatment
  4. DHanding legal accountability for a patient over to a nursing colleague
4.ふつう

A nurse teaches a patient about storing insulin at home. Which statement shows a need for further teaching?

  1. A“I will not leave my insulin in a hot car.”
  2. B“I will keep my spare insulin in the freezer so it lasts longer.”
  3. C“I will check the expiry date on the label before I use the vial.”
  4. D“I will keep unopened insulin in the fridge.”
5.ふつう

股関節置換術の 2 日後の患者に対して、看護助手が行うのに適切な業務はどれですか？

  1. A退院前に、股関節の禁忌肢位を患者に指導する
  2. B切開部の発赤、熱感、排液を観察する
  3. C股関節の禁忌肢位を守りながら、患者が椅子に移るのを手伝う
  4. D前回の鎮痛薬で痛みが抑えられたかを評価する
6.ふつう

A patient on a nasal cannula at 6 L/min still has a low SpO₂. What should the nurse do?

  1. ARemove the oxygen to see if the SpO₂ changes
  2. BReport it, because a different oxygen device is likely to be needed
  3. CRecheck the SpO₂ at the next routine set of observations in four hours
  4. DTurn the nasal cannula up to 15 L/min
7.むずかしい

At 08:00 a nurse has four tasks. Which order is best?

  1. AGive routine medications, check the patient with a falling SpO₂, update care plans, give insulin with breakfast
  2. BCheck the patient with a falling SpO₂, give insulin with breakfast, give routine medications, update care plans
  3. CUpdate care plans, give insulin with breakfast, give routine medications, check the patient with a falling SpO₂
  4. DGive insulin with breakfast, update care plans, check the patient with a falling SpO₂, give routine medications
8.むずかしい

After handover on a medical unit, which patient should the nurse see first?

  1. ANew atrial fibrillation, heart rate 150/min, blood pressure 86/50 mmHg, dizzy
  2. BDay 2 after a hernia repair, pain 6/10, oral analgesic due in 20 minutes, wants it now
  3. CPneumonia on 2 L/min oxygen, SpO₂ 93%, talking in full sentences
  4. DDeep vein thrombosis on a heparin infusion, aPTT in the target range

解答

  1. 1. C · 新たに生じた急性の問題
  2. 2. A · Abnormally fast and needing assessment
  3. 3. B · Giving staff care activities that are within their own role and scope
  4. 4. B · “I will keep my spare insulin in the freezer so it lasts longer.”
  5. 5. C · 股関節の禁忌肢位を守りながら、患者が椅子に移るのを手伝う
  6. 6. B · Report it, because a different oxygen device is likely to be needed
  7. 7. B · Check the patient with a falling SpO₂, give insulin with breakfast, give routine medications, update care plans
  8. 8. A · New atrial fibrillation, heart rate 150/min, blood pressure 86/50 mmHg, dizzy

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