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

What is the range of possible scores on the Glasgow Coma Scale?

  1. A1 to 20
  2. B0 to 15
  3. C0 to 10
  4. D3 to 15
2.やさしい

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

  1. AImplementation comes first, so care starts quickly
  2. BAssessment comes first, because the other steps depend on it
  3. CEvaluation comes first, before any patient data have been collected
  4. DPlanning comes first, before seeing the patient
3.やさしい

A conscious adult with hypoglycemia can swallow safely. What should the nurse give first?

  1. AA large protein meal
  2. BIV glucose through a new cannula as the first choice for every patient
  3. CThe next dose of insulin
  4. DA fast-acting carbohydrate by mouth, such as glucose tablets or juice
4.ふつう

An older patient who has been constipated for days now has small amounts of liquid stool leaking. What should the nurse suspect?

  1. AFecal impaction with liquid stool passing around it
  2. BThe constipation has fully resolved
  3. CA side effect of drinking too much water
  4. DA new bowel infection that has caused the diarrhea
5.ふつう

A patient with angina is taught to use sublingual nitroglycerin (GTN). Which statement shows a need for further teaching?

  1. A“I will sit or lie down when I take a tablet.”
  2. B“If the pain has not eased as my action plan says, I will call emergency services.”
  3. C“I will carry the tablets with me when I go out.”
  4. D“I will take five tablets one after the other before I call for help.”
6.ふつう

Which patient should the RN see first after receiving a report from the night nurse?

  1. ADay 1 after bowel surgery, new chest pain and heart rate 110/min
  2. BDay 3 after bowel surgery, wants a shower and hair wash before breakfast
  3. CDay 4 after bowel surgery, waiting for discharge teaching
  4. DDay 2 after bowel surgery, asking to start a soft diet
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. ACooler, paler skin on the arms and legs
  2. BUrine output at least 0.5 mL/kg/h and clearer thinking
  3. CA heart rate that keeps rising after each bag of fluid
  4. DNew crackles at both lung bases
8.むずかしい

看護師が最初に注意を向けるべき患者はどれですか？

  1. A長年の高血圧があり、血圧が 158/94 mmHg で、症状のない患者
  2. B突然始まった「人生で最悪の頭痛」を訴え、血圧が 170/100 mmHg の患者
  3. C慢性の腰痛があり、温罨法を求めている患者
  4. D片頭痛が知られていて、普段と同じような頭痛がある患者

解答

  1. 1. D · 3 to 15
  2. 2. B · Assessment comes first, because the other steps depend on it
  3. 3. D · A fast-acting carbohydrate by mouth, such as glucose tablets or juice
  4. 4. A · Fecal impaction with liquid stool passing around it
  5. 5. D · “I will take five tablets one after the other before I call for help.”
  6. 6. A · Day 1 after bowel surgery, new chest pain and heart rate 110/min
  7. 7. B · Urine output at least 0.5 mL/kg/h and clearer thinking
  8. 8. B · 突然始まった「人生で最悪の頭痛」を訴え、血圧が 170/100 mmHg の患者

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