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 in an infant is a sign of breathing difficulty?

  1. ANasal flaring
  2. BWet diapers every few hours
  3. CA strong cry
  4. DPink, warm hands and feet
2.やさしい

Which phrase in a question usually signals a priority question?

  1. A“Which action should the nurse take first?”
  2. B“Which statement describes this drug’s class?”
  3. C“Which term means inflammation of the liver?”
  4. D“Which bone is found in the forearm?”
3.やさしい

Which statement belongs in the Background part of an SBAR report?

  1. A“I am calling about Mr Khan because his blood pressure has dropped.”
  2. B“I would like you to see him within the next 15 minutes.”
  3. C“I think he may be developing sepsis.”
  4. D“He was admitted three days ago with pneumonia and also has COPD.”
4.ふつう

看護師が看護助手に「患者の痛みをアセスメントして、追加の薬が必要か判断して」と頼みました。違反している委任の正しさはどれですか？

  1. A正しい人
  2. B正しい状況
  3. C正しい業務
  4. D正しい監督と評価
5.ふつう

A patient receiving chemotherapy has a temperature of 38.3 °C and a very low neutrophil count. What should the nurse do?

  1. ARecheck the temperature in four hours before telling anyone
  2. BGive a cool shower and offer extra fluids, then wait and see what happens
  3. CReport it at once, because cultures and antibiotics are needed quickly
  4. DDocument the reading and mention it at the next handover
6.ふつう

A patient is in skeletal traction. Which finding needs the nurse to act?

  1. AThe weights are hanging freely
  2. BThe weights are resting on the floor
  3. CThe patient’s body is in line with the traction
  4. DThe ropes are in the pulleys
7.むずかしい

At 08:00 a nurse has four tasks. Which order is best?

  1. AGive insulin with breakfast, update care plans, check the patient with a falling SpO₂, give routine medications
  2. BUpdate care plans, give insulin with breakfast, give routine medications, check the patient with a falling SpO₂
  3. CCheck the patient with a falling SpO₂, give insulin with breakfast, give routine medications, update care plans
  4. DGive routine medications, check the patient with a falling SpO₂, update care plans, give insulin with breakfast
8.むずかしい

患者が中心静脈ラインから静脈栄養を受けています。直ちに対応が必要な所見はどれですか？

  1. A昨日から 0.2 kg の体重増加
  2. B点滴中の血糖 150 mg/dL（8.3 mmol/L）
  3. Cラインの上の、乾いて剥がれていないドレッシング
  4. D点滴が予期せず止まったあとの、発汗、ふるえ、血糖 62 mg/dL（3.4 mmol/L）

解答

  1. 1. A · Nasal flaring
  2. 2. A · “Which action should the nurse take first?”
  3. 3. D · “He was admitted three days ago with pneumonia and also has COPD.”
  4. 4. C · 正しい業務
  5. 5. C · Report it at once, because cultures and antibiotics are needed quickly
  6. 6. B · The weights are resting on the floor
  7. 7. C · Check the patient with a falling SpO₂, give insulin with breakfast, give routine medications, update care plans
  8. 8. D · 点滴が予期せず止まったあとの、発汗、ふるえ、血糖 62 mg/dL（3.4 mmol/L）

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