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

看護師（RN）が、看護助手などの無資格の看護補助者（UAP）に通常委任できる業務はどれですか？

  1. A安定した患者のバイタルサインの測定
  2. B患者に新しいインスリンの注射の仕方を教えること
  3. C患者の鎮痛薬への反応の評価
  4. D新規入院患者の入院時アセスメント
2.やさしい

ほかの条件が同じなら、通常、どの問題が優先されますか？

  1. A患者の生活への影響が大きいので、長く続く慢性の問題
  2. B家族が最も心配している問題
  3. C新たに生じた急性の問題
  4. D解決に最も時間がかからない問題
3.やさしい

成人の心停止で、現在の一次救命処置はどの順序を用いますか？

  1. AA-B-C：気道、呼吸、循環
  2. BB-C-A：呼吸、循環、気道
  3. CC-A-B：胸骨圧迫、気道、呼吸
  4. DA-C-B：気道、圧迫、呼吸
4.ふつう

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

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

A patient reports pain of 8/10. Before giving the prescribed as-needed analgesic, what does the nurse do first?

  1. AAssess the location, character and onset of the pain and the vital signs
  2. BGive the strongest analgesic on the chart straight away
  3. CTell the patient to wait until the next scheduled dose is due in two hours
  4. DAsk the nursing assistant to reposition the patient
6.ふつう

During a blood transfusion, a patient develops chills, back pain and a fever. What is the nurse’s first action?

  1. ASlow the transfusion and recheck in an hour
  2. BFinish the unit quickly through a pressure bag so that the reaction does not last long
  3. CGive an antipyretic and continue the transfusion
  4. DStop the transfusion and keep the IV open with normal saline via new tubing
7.むずかしい

An adult choking on food is coughing forcefully and can speak a little. What should the nurse do?

  1. AEncourage the patient to keep coughing and stay with them
  2. BGive the patient water to wash the food down
  3. CSweep the mouth blindly with a finger
  4. DGive abdominal thrusts straight away until the food comes out
8.むずかしい

Before surgery, a nurse is asked to witness a patient’s consent. The patient was given a sedative 30 minutes ago. What should the nurse do?

  1. ANot witness the consent and inform the surgeon
  2. BAsk a family member to sign on the patient’s behalf
  3. CWitness it and write “sedated” beside the signature
  4. DWitness it quickly before the sedative takes full effect

解答

  1. 1. A · 安定した患者のバイタルサインの測定
  2. 2. C · 新たに生じた急性の問題
  3. 3. C · C-A-B：胸骨圧迫、気道、呼吸
  4. 4. C · Keep everyone safe and tell the team, as the risk of harm is high
  5. 5. A · Assess the location, character and onset of the pain and the vital signs
  6. 6. D · Stop the transfusion and keep the IV open with normal saline via new tubing
  7. 7. A · Encourage the patient to keep coughing and stay with them
  8. 8. A · Not witness the consent and inform the surgeon

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