解答つき優先順位の決定と委任ワークシート

Which medication is the first-line treatment for anaphylaxis?

1. AIntramuscular epinephrine
2. BAn oral antihistamine
3. CAn inhaled corticosteroid
4. DOral paracetamol (acetaminophen)

What is the normal baseline fetal heart rate?

1. A160–220/min
2. B60–100/min
3. C110–160/min
4. D40–60/min

Which resting heart rate in an adult is bradycardia?

1. A88/min
2. B72/min
3. C64/min
4. D46/min

Which SBAR recommendation is the clearest?

1. A“I would like you to see him within 15 minutes and consider a fluid bolus.”
2. B“I just wanted to let you know about him.”
3. C“He seems a bit off tonight, so maybe you could come up and do something about it.”
4. D“I will keep watching him and call again tomorrow.”

A patient is receiving continuous tube feeds. Which action best reduces the risk of aspiration?

1. AKeep the head of the bed raised to at least 30 degrees
2. BIncrease the feed rate so the stomach empties sooner
3. CLay the patient flat for an hour after each bag is hung
4. DTurn the feed off only while the patient is asleep at night

股関節置換術の 2 日後の患者に対して、看護助手が行うのに適切な業務はどれですか？

1. A股関節の禁忌肢位を守りながら、患者が椅子に移るのを手伝う
2. B切開部の発赤、熱感、排液を観察する
3. C前回の鎮痛薬で痛みが抑えられたかを評価する
4. D退院前に、股関節の禁忌肢位を患者に指導する

A patient at 36 weeks of pregnancy has sudden severe abdominal pain, a hard, board-like uterus and dark vaginal bleeding. What should the nurse suspect?

1. APlacental abruption, which is an emergency
2. BA urinary tract infection
3. CNormal labor contractions starting
4. DPlacenta previa, which is usually painless

Two days after starting haloperidol, a patient suddenly develops painful neck twisting and the eyes roll upwards. What should the nurse anticipate?

1. AA higher dose of haloperidol to calm the patient and stop the movements quickly
2. BAn anticholinergic drug, such as benztropine or procyclidine, as prescribed
3. CNo action, because the spasm is a sign of improvement
4. DPhysical restraint until the spasm passes