解答つき優先順位の決定と委任ワークシート

A nurse is worried about a patient’s worsening condition, and the provider does not respond to the concern. Following the chain of command, whom does the nurse usually contact next?

1. AThe patient’s next of kin
2. BThe hospital’s chief executive
3. CThe pharmacy technician on duty that day
4. DThe charge nurse or nursing supervisor

For a patient with a suspected heart attack and no contraindications, which drug is usually given early?

1. ACodeine
2. BIbuprofen
3. CAcetaminophen (paracetamol)
4. DAspirin, chewed

Which task is appropriate to delegate to a nursing assistant?

1. AFeeding a stable patient who has no swallowing problems
2. BFeeding a patient with newly diagnosed dysphagia after a stroke
3. CGiving a stable patient their oral medications
4. DAssessing a pressure injury on the sacrum

One hour after a vaginal birth, the nurse finds a soft, boggy uterus and heavy bleeding. What is the first action?

1. AApply an ice pack to the perineum
2. BOffer a meal and fluids
3. CMassage the fundus
4. DEncourage the patient to rest quietly

A nurse teaches foot care to a patient with diabetes. Which statement shows a need for further teaching?

1. A“I will soak my feet in hot water every evening.”
2. B“I will wear shoes that fit well, even at home.”
3. C“I will check the soles of my feet every day with a mirror.”
4. D“I will dry well between my toes after washing.”

An older patient becomes confused over a few hours, with attention that comes and goes. What does this suggest?

1. ALong-standing dementia that is expected
2. BNormal aging that needs no action
3. CA personality change that is permanent and expected
4. DDelirium, which needs the cause found quickly

A patient has a wrist restraint. The nurse finds the fingers on that hand pale, cool and tingling. What should the nurse do first?

1. ALoosen the restraint and assess the circulation
2. BDocument the finding and continue with the medication round
3. CRaise the arm on a pillow and check again in two hours
4. DTighten the restraint so the patient moves less

LPN/LVN が、安定していた患者に新たな胸痛が出たと報告しました。RN はどうすべきですか？

1. ALPN/LVN に対応を任せ、勤務終了時に報告するよう頼む
2. B看護助手に心電図を記録させて、結果を待つ
3. Cアセスメントなしに、頓用のニトログリセリンを投与するよう LPN/LVN に伝える
4. D自ら患者をアセスメントし、次のステップを決める