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 resting heart rate in an adult is bradycardia?

  1. A72/min
  2. B46/min
  3. C64/min
  4. D88/min
2.やさしい

Which pain scale is designed for infants and young children who cannot describe their pain?

  1. AThe FLACC scale
  2. BThe Braden Scale
  3. CThe Glasgow Coma Scale
  4. DThe Morse Fall Scale
3.やさしい

Which serum lithium level suggests toxicity?

  1. A1.0 mEq/L
  2. B0.8 mEq/L
  3. C0.7 mEq/L
  4. D2.2 mEq/L
4.ふつう

A patient receiving an aminoglycoside antibiotic, such as gentamicin, reports ringing in the ears. What should the nurse do?

  1. AHold the next dose and report it promptly
  2. BAdvise the patient to use ear drops
  3. CReassure the patient that it is a normal effect
  4. DGive the next dose early to finish the course
5.ふつう

An anxious patient is breathing very fast and has tingling fingers. The blood gas shows pH 7.51 and PaCO₂ 29 mmHg (3.9 kPa). What should the nurse do first?

  1. AGive IV sodium bicarbonate as soon as it can be found
  2. BGive oxygen at the highest flow and leave the room
  3. CStay with the patient and coach slow, calm breathing
  4. DEncourage the patient to breathe even faster
6.ふつう

A nursing assistant offers to suction a patient’s new tracheostomy. Which response from the RN is best?

  1. A“Leave the suctioning until the next shift arrives.”
  2. B“Ask the patient’s family to do the suctioning today.”
  3. C“Suctioning a new tracheostomy is my task; I will do it myself.”
  4. D“Thank you, please suction him as needed and tell me how it went.”
7.むずかしい

A patient is admitted with suspected meningococcal meningitis. Which precautions are needed until treatment has been given for long enough?

  1. ADroplet precautions
  2. BStandard precautions only
  3. CContact precautions only
  4. DAirborne precautions
8.むずかしい

A marathon runner is confused, with a temperature of 41 °C and hot skin. What is the priority?

  1. AGiving an antipyretic tablet and waiting for it to work
  2. BWrapping the runner in a blanket to prevent shivering
  3. CRapid cooling while supporting airway and circulation
  4. DAsking the runner to rest in the shade and drink slowly

解答

  1. 1. B · 46/min
  2. 2. A · The FLACC scale
  3. 3. D · 2.2 mEq/L
  4. 4. A · Hold the next dose and report it promptly
  5. 5. C · Stay with the patient and coach slow, calm breathing
  6. 6. C · “Suctioning a new tracheostomy is my task; I will do it myself.”
  7. 7. A · Droplet precautions
  8. 8. C · Rapid cooling while supporting airway and circulation

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