解答つき優先順位の決定と委任ワークシート

委任において、「正しい状況」とはどういう意味ですか？

1. A環境と患者の状態から、委任が安全であること
2. B看護師が、業務が終わった後に結果を確認すること
3. Cその業務が、委任される人の職務記述書に明記されていること
4. D看護師が、委任される人に明確で具体的な指示を与えること

Why may a full-thickness burn feel painless at its center?

1. AThe patient has been given too much fluid
2. BThe burn only affects the thin surface layer of the skin
3. CThe nerve endings in the skin have been destroyed
4. DThe burn has already fully healed

Which finding meets the usual definition of orthostatic hypotension?

1. ABlood pressure is the same lying and standing
2. BHeart rate falls by 5/min after lying down
3. CSystolic pressure falls by 20 mmHg or more within 3 minutes of standing
4. DSystolic pressure rises by 20 mmHg or more within 3 minutes of standing up

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. AAcetaminophen (paracetamol)
2. BLevothyroxine
3. COmeprazole
4. DMetformin

During labor, the nurse sees the umbilical cord in the vagina after the membranes rupture. What is the first action?

1. AWait for the next contraction before acting
2. BRelieve pressure on the cord by lifting the presenting part with a gloved hand
3. CAsk the patient to walk around the room to bring the baby lower and speed up labor
4. DPush the cord back into the uterus

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. BTurn the nasal cannula up to 15 L/min
3. CRecheck the SpO₂ at the next routine set of observations in four hours
4. DReport it, because a different oxygen device is likely to be needed

Four stable patients need routine morning care. To reduce the spread of infection, which patient should the nurse visit first?

1. AA patient with an MRSA wound infection
2. BA patient with neutropenia after chemotherapy
3. CA patient with influenza on droplet precautions
4. DA patient with C. difficile diarrhea

資源が非常に限られた災害で、ほぼ全身に重度の熱傷を負った傷病者に黒のタグが付けられました。この判断を説明する原則はどれですか？

1. A最も若い傷病者を最初に治療すること
2. B到着した順に傷病者を治療すること
3. C最大多数に最大の利益をもたらすこと
4. D最も重症の人を最初に治療すること