解答つき優先順位の決定と委任ワークシート

What is the main purpose of a rapid response team?

1. ATo handle complaints from patients and families
2. BTo transport stable patients between hospital units
3. CTo assess and treat a deteriorating patient before an arrest happens
4. DTo review medication errors and falls after they have happened on the unit

What does a “PRN” medication order mean?

1. AGive the drug when needed, within the prescribed limits
2. BGive the drug once only, immediately
3. CGive the drug at exactly the same time every single day
4. DGive the drug only before surgery

In delegation, what does supervision mean?

1. ASigning the delegate’s documentation without checking it
2. BLeaving the delegate to finish without any contact
3. CDoing every delegated task yourself to make sure that it is done right
4. DGuidance, follow-up and evaluation of the delegated task by the nurse

A parent of a child with influenza talks with the nurse. Which statement shows a need for further teaching?

1. A“I will give my child plenty of fluids.”
2. B“I will call if my child has trouble breathing.”
3. C“I will keep my child home from school and away from others while unwell.”
4. D“I will give my child aspirin to bring the fever down.”

Two hours after birth, the nurse finds the uterus firm but above the umbilicus and pushed to the right. What should the nurse do first?

1. AGive a dose of oxytocin straight away
2. BAsk the patient to lie still for another hour
3. CHelp the patient empty her bladder
4. DMassage the uterus firmly for ten minutes

During a blood transfusion, a patient develops chills, back pain and a fever. What is the nurse’s first action?

1. ASlow the transfusion and recheck in an hour
2. BGive an antipyretic and continue the transfusion
3. CStop the transfusion and keep the IV open with normal saline via new tubing
4. DFinish the unit quickly through a pressure bag so that the reaction does not last long

A patient with SIADH has a serum sodium of 120 mEq/L and is newly confused. Which nursing action has priority?

1. ATeaching the patient about a low-sodium diet at home
2. BEncouraging the patient to drink plenty of water
3. CHelping the patient to walk in the corridor alone
4. DSeizure precautions and close neurological checks

A patient with severe sepsis starts oozing blood from IV sites and the gums, and bruises appear on the skin. What should the nurse suspect?

1. AVitamin C deficiency
2. BNormal bruising from blood tests
3. CAn allergic reaction to the adhesive tape
4. DDisseminated intravascular coagulation (DIC)