解答つき優先順位の決定と委任ワークシート

Which hemoglobin result is low for an adult woman?

1. A7.8 g/dL (78 g/L)
2. B12.6 g/dL (126 g/L)
3. C13.2 g/dL (132 g/L)
4. D14.0 g/dL (140 g/L)

Which capillary refill time is prolonged in an adult?

1. ALess than 1 second
2. B2 seconds
3. C1 second
4. D4 seconds

無資格の看護補助者に委任できる業務はどれですか？

1. A所見について医療者に連絡するかどうかの判断
2. B患者の尿量の測定と記録
3. C減塩食についての患者への指導
4. D褥瘡のアセスメント

A patient has a new plaster cast that is still drying. How should the nurse handle it?

1. AWith the palms of the hands, not the fingertips
2. BBy covering it tightly with a plastic sheet
3. CBy resting it directly on a hard surface
4. DWith the fingertips, pressing firmly to test it

Which infant with gastroenteritis should the nurse see first?

1. ATwo loose stools today, feeding well
2. BLethargic, sunken fontanel, no wet diaper for 8 hours
3. CAlert, crying with tears, had a wet diaper an hour ago
4. DMild diaper rash, otherwise playful

心電図モニターが患者の平坦な波形（心静止）を示していますが、患者は座って話しています。看護師が最初にすることは何ですか？

1. A心停止対応チームを呼ぶ
2. B患者と電極のリード線を確認する
3. Cすぐに胸骨圧迫を開始する
4. D除細動器の準備をして、ショックを与える

The charge nurse overhears four instructions from an RN to a nursing assistant. Which one needs to be corrected?

1. A“Check his glucose and give the insulin according to the sliding scale.”
2. B“Help him wash and change, and tell me at once if you see any red or broken skin.”
3. C“Walk him to the bathroom and back, and stay with him the whole time.”
4. D“Check his glucose before lunch and tell me the number straight away.”

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. BRaise the arm on a pillow and check again in two hours
3. CDocument the finding and continue with the medication round
4. DTighten the restraint so the patient moves less