解答つき優先順位の決定と委任ワークシート

Once a nursing assistant has accepted a delegated task, who is responsible for doing it correctly?

1. AOnly the nurse manager
2. BThe assistant who accepted the task
3. CThe patient receiving the care
4. DNobody, once the task has been delegated

Which statement about pulse oximetry is correct?

1. AIt shows the patient’s blood glucose
2. BThe reading is always correct, whatever finger or hand is used
3. CIt measures the carbon dioxide in the blood
4. DCold fingers or nail polish can give an inaccurate reading

看護助手が 4 つの所見を報告しました。看護師が最初に確認すべきものはどれですか？

1. A親族に電話をかけたい患者
2. B毛布をもう 1 枚ほしいと頼んでいる患者
3. C突然右腕を動かせなくなった患者
4. D朝食のトレーを食べ残した患者

A nurse has given rapid-acting insulin, and then learns that the patient’s meal tray will be 45 minutes late. What should the nurse do?

1. AAsk the patient to walk around the ward until the food arrives
2. BGet the patient some carbohydrate food now and check the glucose
3. CTell the patient to wait and do nothing until the tray comes
4. DGive a second, smaller dose of insulin when the meal tray finally arrives

An older patient becomes confused over a few hours, with attention that comes and goes. What does this suggest?

1. AA personality change that is permanent and expected
2. BNormal aging that needs no action
3. CLong-standing dementia that is expected
4. DDelirium, which needs the cause found quickly

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

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

A medical-unit nurse is floated to intensive care and given a patient on a ventilator, which the nurse has never managed. What is the best response?

1. ARefuse to work and go home, because the assignment is unsafe
2. BAccept the full assignment without comment to avoid conflict
3. CLeave the intensive care unit and go back to the medical unit without telling anyone
4. DTell the charge nurse about the gap, accept tasks within competence and ask for support

住宅火災から救出された患者に、顔面の熱傷、鼻毛の焦げ、嗄声があります。優先すべきことは何ですか？

1. A気道を守り、早期の気道確保に備える
2. B熱傷の面積から計算した、輸液蘇生を開始する
3. C顔面の熱傷を洗浄してドレッシングを貼る
4. D鎮痛を行う