解答つき優先順位の決定と委任ワークシート

What are Kussmaul respirations?

1. ASlow, shallow breathing after an opioid overdose
2. BNoisy, high-pitched breathing caused by a blocked upper airway
3. CShort pauses in breathing during normal sleep
4. DDeep, rapid breathing seen in metabolic acidosis such as DKA

Using the RACE fire response, what does the nurse do first when finding a fire in a patient’s room?

1. AUse an extinguisher on the fire
2. BRescue patients in immediate danger
3. CPull the fire alarm
4. DClose doors to contain the fire and smoke

What is a “near miss” in patient safety?

1. AA complaint from a visitor
2. BAn error that reached the patient and caused serious harm
3. CAn error that was caught before it reached the patient
4. DA planned treatment that did not work

がんと告げられたばかりの患者が泣いていますが、何度か嘔吐もしていて、水分を保持できません。看護師が最初に対処するのは何ですか？

1. A化学療法についての指導
2. B病院付きの牧師への連絡
3. C診断についての心理的支援
4. D嘔吐と水分の喪失

A nurse teaches foot care to a patient with diabetes. Which statement shows a need for further teaching?

1. A“I will soak my feet in hot water every evening.”
2. B“I will dry well between my toes after washing.”
3. C“I will wear shoes that fit well, even at home.”
4. D“I will check the soles of my feet every day with a mirror.”

Which infant with gastroenteritis should the nurse see first?

1. ALethargic, sunken fontanel, no wet diaper for 8 hours
2. BAlert, crying with tears, had a wet diaper an hour ago
3. CTwo loose stools today, feeding well
4. DMild diaper rash, otherwise playful

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. A呼吸不全で 1 時間前に挿管され、まだ鎮静中
2. B2 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
3. C夜間に消化管出血で入院し、まだ輸血を受けている
4. Dノルエピネフリンを点滴中で、今朝、用量を増やした

Which patient is the most appropriate to assign to an LPN/LVN?

1. AA patient with a tracheostomy placed this morning who is coughing up blood
2. BA patient with a long-standing tracheostomy who needs routine suctioning and care
3. CA patient who has just arrived from the emergency department with pneumonia and confusion
4. DA patient on a new IV medication that needs frequent titration