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

In the Emergency Severity Index (ESI), which patient fits level 2?

  1. AA stable patient who needs one resource
  2. BA high-risk situation, new confusion, or severe pain or distress
  3. CA patient who needs an immediate life-saving intervention to survive
  4. DA stable patient who needs no resources
2.やさしい

Which finding is one of the quick SOFA (qSOFA) criteria for possible sepsis?

  1. ARespiratory rate of 22/min or more
  2. BBlood glucose above 100 mg/dL
  3. CHeart rate below 60/min
  4. DTemperature below 36.5 °C on one reading
3.やさしい

Which finding should a nursing assistant report to the nurse at once?

  1. AA pulse of 42/min in a patient whose usual pulse is 76/min
  2. BA patient whose weight is unchanged from yesterday
  3. CA patient who wants to shower in the evening
  4. DA patient who would like tea instead of coffee
4.ふつう

A nursing assistant offers to suction a patient’s new tracheostomy. Which response from the RN is best?

  1. A“Leave the suctioning until the next shift arrives.”
  2. B“Suctioning a new tracheostomy is my task; I will do it myself.”
  3. C“Ask the patient’s family to do the suctioning today.”
  4. D“Thank you, please suction him as needed and tell me how it went.”
5.ふつう

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

A nurse takes a telephone order from a provider. What must the nurse do?

  1. AAsk the ward clerk to take the order on the nurse’s behalf instead
  2. BRemember the order and write it in the chart at the end of the shift
  3. CCarry out the order first and ask the provider to confirm it later
  4. DWrite the order down and read it back to the provider to confirm it
7.むずかしい

A patient with suspected sepsis has four prescribed orders. Which should usually be done first?

  1. AArrange a chest X-ray for later today
  2. BGive the IV antibiotic
  3. CTake blood cultures
  4. DRepeat the lactate in six hours
8.むずかしい

看護助手への委任として適切なものはどれですか？

  1. A最初の栄養の前に、新たに挿入した経鼻胃管の位置を確認すること
  2. B脳卒中のあと、嚥下スクリーニングがまだ済んでいない患者に、最初の食事を提供すること
  3. C安定した患者の定期的な尿検体の採取
  4. D輸血の最初の 15 分間、患者を観察すること

解答

  1. 1. B · A high-risk situation, new confusion, or severe pain or distress
  2. 2. A · Respiratory rate of 22/min or more
  3. 3. A · A pulse of 42/min in a patient whose usual pulse is 76/min
  4. 4. B · “Suctioning a new tracheostomy is my task; I will do it myself.”
  5. 5. A · “I will give my child aspirin to bring the fever down.”
  6. 6. D · Write the order down and read it back to the provider to confirm it
  7. 7. C · Take blood cultures
  8. 8. C · 安定した患者の定期的な尿検体の採取

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