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 needs a single room with airborne precautions?

  1. AA patient with a fractured femur
  2. BA patient with type 2 diabetes
  3. CA patient with a urinary tract infection and a catheter
  4. DA patient with suspected pulmonary tuberculosis
2.やさしい

In the Emergency Severity Index (ESI), which patient fits level 2?

  1. AA stable patient who needs one resource
  2. BA stable patient who needs no resources
  3. CA patient who needs an immediate life-saving intervention to survive
  4. DA high-risk situation, new confusion, or severe pain or distress
3.やさしい

What is a “near miss” in patient safety?

  1. AAn error that was caught before it reached the patient
  2. BA complaint from a visitor
  3. CA planned treatment that did not work
  4. DAn error that reached the patient and caused serious harm
4.ふつう

A patient has a blood pressure of 210/120 mmHg. Which finding would make this a hypertensive emergency?

  1. AForgetting to take the blood pressure tablet this morning
  2. BMild anxiety about the high reading on the monitor
  3. CA history of high blood pressure for ten years
  4. DNew chest pain or confusion suggesting organ damage
5.ふつう

A patient uses patient-controlled analgesia (PCA) after surgery. Which statement by a family member shows a need for further teaching?

  1. A“I will press the button for her while she is asleep so she stays comfortable.”
  2. B“The pump has limits set by the nurse so she cannot get too much at once.”
  3. C“Only she should press the button when she needs pain relief.”
  4. D“I will tell the nurse if she becomes very sleepy or hard to wake.”
6.ふつう

One day after surgery, a patient walked safely with the RN this morning. The RN now asks a nursing assistant to walk her again. Which instruction is most important?

  1. A“Walk her to the end of the corridor and back twice before lunch.”
  2. B“Make sure she wears her own slippers if she has them.”
  3. C“Try to finish the walk before the lunch trays arrive.”
  4. D“Stop and call me at once if she feels dizzy or short of breath.”
7.むずかしい

A severely malnourished patient started nutrition two days ago and now has weakness and confusion. Which laboratory result should the nurse check first?

  1. ASerum phosphate
  2. BSerum amylase
  3. CThyroid hormone
  4. DSerum cholesterol
8.むずかしい

看護助手が、患者のモルヒネの初回投与の 15 分後にバイタルサインを測定しました。呼吸数は 10 回/分で、患者は起こしにくいと報告します。看護師はどうすべきですか？

  1. A患者を診に行く前に、医療者に電話して指示をもらう
  2. B所見を記録し、次の定時ラウンドで医療者に伝える
  3. C15 分後に呼吸数を再測定して報告するよう、助手に頼む
  4. Dすぐに行き、患者を覚醒させ、呼吸を補助し、指示に従ってナロキソンを準備する

解答

  1. 1. D · A patient with suspected pulmonary tuberculosis
  2. 2. D · A high-risk situation, new confusion, or severe pain or distress
  3. 3. A · An error that was caught before it reached the patient
  4. 4. D · New chest pain or confusion suggesting organ damage
  5. 5. A · “I will press the button for her while she is asleep so she stays comfortable.”
  6. 6. D · “Stop and call me at once if she feels dizzy or short of breath.”
  7. 7. A · Serum phosphate
  8. 8. D · すぐに行き、患者を覚醒させ、呼吸を補助し、指示に従ってナロキソンを準備する

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