解答つき優先順位の決定と委任ワークシート

What does NPO mean on a patient’s care plan?

1. ANo pain observed
2. BNormal patient observations
3. CNothing by mouth
4. DNot for physical therapy

Which symptoms suggest high blood glucose (hyperglycemia)?

1. ASudden hunger with cold, clammy skin
2. BIncreased thirst and passing more urine
3. CSweating, shaking and a fast pulse
4. DConfusion that improves quickly with juice

一般に、最も優先順位の高い患者の問題はどれですか？

1. A不安
2. B急性の痛み
3. C薬に関する知識不足
4. D気道閉塞

A patient with schizophrenia says voices are telling him to hurt his roommate. What is the priority?

1. AKeep everyone safe and tell the team, as the risk of harm is high
2. BTell him the voices are not real and leave him alone
3. CIgnore the comment, because voices are part of his illness
4. DAsk the roommate to stay in the room with him and help calm him down

A patient is receiving opioids after surgery. Which finding usually comes before opioid-induced respiratory depression?

1. AA sudden rise in pain scores
2. BIncreasing sleepiness that is hard to rouse
3. CA rise in blood pressure with flushed cheeks
4. DIncreased appetite and thirst

Which postoperative patient should the nurse see first?

1. AWants help with washing her hair before her visitors arrive this afternoon
2. BAsking when the urinary catheter will be removed
3. CPain of 4/10 one hour after an oral analgesic
4. DDressing soaked with bright red blood and a heart rate rising to 118/min

救急部で、すぐに処置室へ行くべき患者はどれですか？

1. A手首を捻挫し、バイタルサインが正常な 25 歳の患者
2. B処方の再発行を求めている 45 歳の患者
3. C2 日間のどが痛く、体温が 38.0 °C の 30 歳の患者
4. D20 分前から、胸の圧迫感、発汗、悪心がある 60 歳の患者

A patient arrives at the emergency department with a plan to end their life, but has normal vital signs. Which ESI level fits best?

1. ALevel 2
2. BLevel 1
3. CLevel 5
4. DLevel 4