解答つき優先順位の決定と委任ワークシート

3 段階のトリアージ分類で、「緊急」にあたる患者はどれですか？

1. A処方の再発行の依頼
2. B発熱のない、3 日間の発疹
3. Cバイタルサインが正常な、2 日間の腹痛
4. D発汗と息切れを伴う胸痛

Which of these is one of the standard “rights” of medication administration?

1. ARight patient
2. BRight brand
3. CRight colleague
4. DRight ward

Before giving a medication, how many patient identifiers should the nurse check?

1. AAt least two, such as name and date of birth
2. BOne, the bed number
3. COne, the room number
4. DNone, if the nurse already knows the patient well

看護師が、ベッドの脇の床に倒れている患者を見つけました。最初の行動は何ですか？

1. A詳細を覚えているうちに、インシデントレポートを完成させる
2. B同僚の手を借りて、すぐに患者をベッドに戻す
3. C何が起きたかを説明するため、患者の家族に電話する
4. D動かす前に、反応の有無とけがをアセスメントする

Which two patients can most safely share a room?

1. ATwo patients who both have C. difficile infection
2. BA patient with influenza and a patient with COPD
3. CA patient with MRSA in a wound and a patient after surgery
4. DA patient with chickenpox and a patient on chemotherapy

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

1. AGive an antipyretic and continue the transfusion
2. BSlow the transfusion and recheck in an hour
3. CStop the transfusion and keep the IV open with normal saline via new tubing
4. DFinish the unit quickly through a pressure bag so that the reaction does not last long

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

1. AKeep the legs raised above the heart as much as possible
2. BKeep the legs level or slightly lowered, not raised
3. CWrap the legs tightly with compression bandages
4. DSit with the legs crossed to improve blood flow

A patient with suspected sepsis has four prescribed orders. Which should usually be done first?

1. ATake blood cultures
2. BGive the IV antibiotic
3. CArrange a chest X-ray for later today
4. DRepeat the lactate in six hours