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 drug reverses the anticoagulant effect of heparin?

  1. ANaloxone
  2. BAtropine
  3. CProtamine sulfate
  4. DVitamin K
2.やさしい

In nursing management, what is an “assignment”?

  1. AA written order from a prescriber for a treatment
  2. BGiving staff care activities that are within their own role and scope
  3. CHanding legal accountability for a patient over to a nursing colleague
  4. DAsking a colleague to do a task outside their usual scope
3.やさしい

Which patient usually fits ESI level 5?

  1. AA stable adult who needs blood tests and an X-ray of the chest
  2. BA stable adult who only needs a repeat prescription
  3. CAn adult with chest pain suggesting a heart attack
  4. DAn adult in cardiac arrest
4.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. BDocument the reading and mention it at the next handover
  3. CGive a cool shower and offer extra fluids, then wait and see what happens
  4. DReport it at once, because cultures and antibiotics are needed quickly
5.ふつう

A patient taking lisinopril develops swelling of the lips and tongue. What should the nurse do first?

  1. AGive the next dose of lisinopril with water
  2. BAssess the airway and call for urgent help
  3. CTell the patient this is a common, harmless effect
  4. DApply a cold pack and recheck in an hour
6.ふつう

A patient with a head injury is being monitored. Which set of findings suggests rising intracranial pressure?

  1. ALow temperature, fast breathing and a strong appetite
  2. BNormal blood pressure, normal pulse and clear speech
  3. CRising systolic pressure, slow pulse and irregular breathing
  4. DFalling blood pressure, a fast pulse and warm, flushed dry skin
7.むずかしい

新たな入院に備えて、集中治療室から移すのに最も適した患者はどれですか？

  1. A2 日前に抜管され、鼻カニューレ 2 L/分の酸素で安定し、血管作動薬の点滴がない
  2. B呼吸不全で 1 時間前に挿管され、まだ鎮静中
  3. Cノルエピネフリンを点滴中で、今朝、用量を増やした
  4. D夜間に消化管出血で入院し、まだ輸血を受けている
8.むずかしい

A trauma patient has an open leg fracture, absent breath sounds on one side, a trachea shifted to the other side and a falling blood pressure. Which problem is the priority?

  1. AThe open fracture of the leg
  2. BThe risk of wound infection
  3. CThe suspected tension pneumothorax
  4. DThe pain from the fracture

解答

  1. 1. C · Protamine sulfate
  2. 2. B · Giving staff care activities that are within their own role and scope
  3. 3. B · A stable adult who only needs a repeat prescription
  4. 4. D · Report it at once, because cultures and antibiotics are needed quickly
  5. 5. B · Assess the airway and call for urgent help
  6. 6. C · Rising systolic pressure, slow pulse and irregular breathing
  7. 7. A · 2 日前に抜管され、鼻カニューレ 2 L/分の酸素で安定し、血管作動薬の点滴がない
  8. 8. C · The suspected tension pneumothorax

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