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. BPink, warm hands and feet
  3. CWet diapers every few hours
  4. DA strong cry
2.やさしい

What is a “critical value” in laboratory testing?

  1. AA result that is needed only for research
  2. BA result that is slightly outside the normal range and can wait for the ward round
  3. CA result that the patient has asked to see
  4. DA result that may be life-threatening and must be reported at once
3.やさしい

What is a transient ischemic attack (TIA)?

  1. AA stroke that leaves permanent weakness or paralysis on one side of the body
  2. BA type of migraine with no link to stroke
  3. CBrief stroke-like symptoms that resolve, warning of a possible stroke
  4. DA heart attack that affects the brain
4.ふつう

Straight after birth, what is the first priority for a healthy-looking newborn?

  1. ADry and warm the baby while checking that it is breathing
  2. BWeigh and measure the baby on the scale
  3. CGive the first bath to remove the blood and vernix
  4. DGive the vitamin K injection before anything else is done
5.ふつう

An arterial blood gas shows pH 7.28, PaCO₂ 40 mmHg (5.3 kPa) and HCO₃⁻ 16 mEq/L (mmol/L). How should the nurse interpret it?

  1. AMetabolic acidosis
  2. BMetabolic alkalosis
  3. CRespiratory acidosis
  4. DRespiratory alkalosis
6.ふつう

内科の混合病棟で、看護師が最初に診るべき患者はどれですか？

  1. Aアセトアミノフェンを求めている、軽い緊張型頭痛の患者
  2. B血圧が 136/84 mmHg の高血圧の患者
  3. C持ち物を人にあげ、自殺の計画をもっている、うつ病の患者
  4. D明日の退院についての書面の情報を求めている患者
7.むずかしい

Four laboratory results come back at once. Which one should the nurse report first?

  1. AHemoglobin 6.5 g/dL (65 g/L) in a patient with a GI bleed
  2. BPotassium 3.4 mEq/L in a patient on a diuretic
  3. CGlucose 180 mg/dL after a meal in a patient with diabetes
  4. DCreatinine 1.3 mg/dL in an older adult, unchanged from last week
8.むずかしい

Using ESI, a stable adult with abdominal pain will need blood tests and a CT scan, but has a heart rate of 130/min. Which statement is correct?

  1. AThe nurse should consider level 2 because of the danger-zone vital sign
  2. BThe patient is level 5 because the pain is not severe
  3. CThe patient is level 4 because the blood tests and the scan count as one resource
  4. DVital signs never change the ESI level

解答

  1. 1. A · Nasal flaring
  2. 2. D · A result that may be life-threatening and must be reported at once
  3. 3. C · Brief stroke-like symptoms that resolve, warning of a possible stroke
  4. 4. A · Dry and warm the baby while checking that it is breathing
  5. 5. A · Metabolic acidosis
  6. 6. C · 持ち物を人にあげ、自殺の計画をもっている、うつ病の患者
  7. 7. A · Hemoglobin 6.5 g/dL (65 g/L) in a patient with a GI bleed
  8. 8. A · The nurse should consider level 2 because of the danger-zone vital sign

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