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 finding is one of the quick SOFA (qSOFA) criteria for possible sepsis?

  1. ATemperature below 36.5 °C on one reading
  2. BRespiratory rate of 22/min or more
  3. CBlood glucose above 100 mg/dL
  4. DHeart rate below 60/min
2.やさしい

In a three-level triage system, what does “urgent” mean?

  1. ASerious but stable for now, and needs care soon
  2. BLife-threatening and needs care immediately
  3. CMinor, and can safely wait for several hours
  4. DAlready deceased on arrival
3.やさしい

Which platelet count is within the normal adult range?

  1. A250,000/mm³ (250 × 10⁹/L)
  2. B700,000/mm³ (700 × 10⁹/L)
  3. C40,000/mm³ (40 × 10⁹/L)
  4. D90,000/mm³ (90 × 10⁹/L)
4.ふつう

A nurse teaches a patient about sublingual nitroglycerin tablets. Which statement shows a need for further teaching?

  1. A“I will swallow the tablet with a glass of water.”
  2. B“I may get a headache after taking a tablet.”
  3. C“I will sit down before I take a tablet.”
  4. D“I will keep the tablets in their original dark container.”
5.ふつう

A patient’s chest tube becomes disconnected from the drainage system. What should the nurse do first?

  1. ARemove the tube and cover the site
  2. BClamp the tube for the rest of the shift
  3. CPlace the end of the tube in a bottle of sterile water
  4. DWait for the provider to arrive before doing anything else
6.ふつう

A nasogastric tube has just been placed for feeding. What must happen before the first feed is given?

  1. AThe patient is asked if the tube feels comfortable
  2. BThe tube is flushed with a large volume of water
  3. CPlacement is confirmed by an approved method
  4. DThe feed is started slowly to see if the patient coughs
7.むずかしい

A competent adult patient refuses a blood transfusion for religious reasons. What should the nurse do?

  1. AGive the transfusion while the patient is asleep, because saving their life comes first
  2. BTell the patient that refusing treatment is not allowed in hospital
  3. CRespect the refusal, check the patient understands the risks and inform the provider
  4. DAsk the family to persuade the patient until they agree
8.むずかしい

A patient takes lithium. Which statement shows a need for further teaching?

  1. A“I will go for my blood tests as planned.”
  2. B“I will keep my daily salt intake about the same as usual.”
  3. C“I will take ibuprofen every day for my headaches.”
  4. D“I will drink enough fluid every day.”

解答

  1. 1. B · Respiratory rate of 22/min or more
  2. 2. A · Serious but stable for now, and needs care soon
  3. 3. A · 250,000/mm³ (250 × 10⁹/L)
  4. 4. A · “I will swallow the tablet with a glass of water.”
  5. 5. C · Place the end of the tube in a bottle of sterile water
  6. 6. C · Placement is confirmed by an approved method
  7. 7. C · Respect the refusal, check the patient understands the risks and inform the provider
  8. 8. C · “I will take ibuprofen every day for my headaches.”

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