解答つき優先順位の決定と委任ワークシート

看護師（RN）が、看護助手などの無資格の看護補助者（UAP）に通常委任できる業務はどれですか？

1. A患者の鎮痛薬への反応の評価
2. B患者に新しいインスリンの注射の仕方を教えること
3. C安定した患者のバイタルサインの測定
4. D新規入院患者の入院時アセスメント

How many rights of delegation are commonly taught?

1. AFive
2. BTen
3. CThree
4. DSeven

委任において、「正しい監督と評価」とはどういう意味ですか？

1. A看護師が、委任したすべての業務を一瞬も目を離さず見守ること
2. B師長が、勤務終了時に委任されたすべての業務を承認すること
3. C委任された人が、あとで自分の仕事を確認し、承認すること
4. D看護師が経過を追い、必要なら介入し、結果を確認すること

A nurse teaches a patient about sublingual nitroglycerin tablets. Which statement shows a need for further teaching?

1. A“I will keep the tablets in their original dark container.”
2. B“I will swallow the tablet with a glass of water.”
3. C“I will sit down before I take a tablet.”
4. D“I may get a headache after taking a tablet.”

Which action helps prevent a catheter-associated urinary tract infection?

1. ARaising the drainage bag above the bladder when walking
2. BLeaving the catheter in place longer than needed
3. CDisconnecting the bag every shift to empty it
4. DKeeping the drainage bag below the level of the bladder

A young adult has just started an SSRI antidepressant for major depression. What should the nurse monitor most closely in the first weeks?

1. AWeight loss from too much appetite
2. BRising blood glucose levels
3. CHair growth and skin color
4. DThoughts of suicide or self-harm

A nurse returns to the station to find four messages. Which one is answered first?

1. AA family member wants an update on their father’s progress
2. BThe pharmacy asks when the next delivery should be scheduled
3. CThe laboratory is calling with a critical potassium result of 2.6 mEq/L
4. DA colleague asks to swap shifts with them next week because of a family wedding

Six hours after surgery, a patient has not passed urine, feels the urge to go and has a firm swelling above the pubic bone. What is the most likely problem?

1. AUrinary retention
2. BDehydration from fasting before surgery
3. CAcute kidney injury with no urine made
4. DA normal effect of the anesthetic