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

Which patient concern belongs to the esteem level of Maslow’s hierarchy?

  1. AMissing friends from home
  2. BFear of slipping in the shower
  3. CThirst after a long period of fasting before a test
  4. DWorry about body image after a mastectomy
2.やさしい

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

  1. A0 to 15
  2. B1 to 20
  3. C3 to 15
  4. D0 to 10
3.やさしい

Which type of stroke is the most common?

  1. AVenous sinus thrombosis
  2. BHemorrhagic stroke
  3. CIschemic stroke
  4. DSubarachnoid hemorrhage
4.ふつう

看護助手が 4 人の患者について報告します。看護師がまず注意を向けるべき報告はどれですか?

  1. ACOPD の患者の安静時 SpO₂ が 90 % で、普段の値と同じである
  2. B患者が過去 6 時間に 300 mL の尿を出した
  3. C腹部手術の 1 日後の患者が、新たに落ち着きがなく、心拍数が 124 回/分である
  4. D患者が枕をもう 1 つほしいと頼んでいる
5.ふつう

A patient with a spinal cord injury at T4 suddenly has a severe headache, flushing above the injury and a blood pressure of 200/110 mmHg. What does the nurse do first?

  1. ASit the patient upright with the legs lowered
  2. BLay the patient flat with the legs raised
  3. CApply extra blankets to keep the patient warm and calm
  4. DGive a warm drink and recheck the blood pressure in an hour
6.ふつう

Which patient is at the highest risk of falling?

  1. AA 45-year-old with asthma who is alert and independent
  2. BA 60-year-old admitted for chest pain that has since been ruled out by tests
  3. CA 30-year-old after an appendectomy who walks with steady steps
  4. DAn 84-year-old taking a diuretic who has fallen before and gets up at night
7.むずかしい

A patient has peripheral arterial disease with a non-healing ulcer on the toe. Which advice about leg position is correct?

  1. AWrap the legs tightly with compression bandages
  2. BKeep the legs level or slightly lowered, not raised
  3. CSit with the legs crossed to improve blood flow
  4. DKeep the legs raised above the heart as much as possible
8.むずかしい

Four patients arrive at the emergency department at the same time. Who should be seen first?

  1. AA young adult with a swollen, painful ankle after a fall on the stairs
  2. BAn adult with kidney stone pain of 9/10 and stable vital signs
  3. CAn older adult with weakness on one side that began 40 minutes ago
  4. DA child with a temperature of 39 °C who is alert and drinking

解答

  1. 1. D · Worry about body image after a mastectomy
  2. 2. C · 3 to 15
  3. 3. C · Ischemic stroke
  4. 4. C · 腹部手術の 1 日後の患者が、新たに落ち着きがなく、心拍数が 124 回/分である
  5. 5. A · Sit the patient upright with the legs lowered
  6. 6. D · An 84-year-old taking a diuretic who has fallen before and gets up at night
  7. 7. B · Keep the legs level or slightly lowered, not raised
  8. 8. C · An older adult with weakness on one side that began 40 minutes ago

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