解答つき優先順位の決定と委任ワークシート

Which maneuver opens the airway of an unresponsive adult with no suspected spinal injury?

1. AHead-tilt, chin-lift
2. BJaw thrust without head tilt
3. CTurning the head sharply to one side
4. DRaising the legs above the heart

Which laboratory finding is expected in a patient with chronic kidney disease who receives dialysis?

1. AA platelet count of 900,000/mm³
2. BA raised serum creatinine
3. CA serum sodium of 160 mEq/L
4. DA low serum creatinine

Which task can the RN usually assign to an LPN/LVN?

1. ADoing the admission assessment of a new patient
2. BChanging the dressing on a stable, healing wound
3. CTriaging a new arrival in the emergency department
4. DWriting the patient’s initial plan of care

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
3. C患者が過去 6 時間に 300 mL の尿を出した
4. D患者が枕をもう 1 つほしいと頼んでいる

Which telephone call should a clinic nurse return first?

1. AA parent of a 5-year-old with a runny nose for two days
2. BA parent of a 6-week-old with a temperature of 38.3 °C
3. CAn adult asking for a repeat prescription for a statin
4. DAn adult who wants to move a routine blood test appointment

A patient has a serum potassium of 6.8 mEq/L. Which action comes first?

1. AGive the patient’s scheduled potassium supplement
2. BPlace the patient on a cardiac monitor
3. CEncourage foods high in potassium
4. DRecheck the level next week

A patient with severe sepsis starts oozing blood from IV sites and the gums, and bruises appear on the skin. What should the nurse suspect?

1. ADisseminated intravascular coagulation (DIC)
2. BVitamin C deficiency
3. CAn allergic reaction to the adhesive tape
4. DNormal bruising from blood tests

看護師が最初に対応すべき看護助手の報告はどれですか？

1. A肺炎の患者が黄色い痰を出した
2. B糖尿病の患者が、いつもどおり足がよくピリピリすると言う
3. C今朝の腰椎固定術の後、脚の感覚がなく動かせない
4. D安静臥床の患者が、便器を求めている