解答つき優先順位の決定と委任ワークシート

患者に新たな深部静脈血栓症があり、病棟で孤独を感じているとも話しています。マズローの階層を用いると、どのニーズが最初ですか？

1. A承認と尊重のニーズ
2. B血栓症に関連する生理的ニーズ
3. C自己実現のニーズ
4. D入院中の愛と所属のニーズ

In Maslow’s hierarchy of needs, which level sits at the top?

1. ALove and belonging
2. BEsteem
3. CSafety and security
4. DSelf-actualization

優先順位の設定で、「予測された」所見とは、次のどれですか？

1. A常に迅速対応チームへの即時の連絡が必要な所見
2. B常に成人の正常な基準範囲内にある所見
3. C患者や家族が予測していた所見
4. D患者の既知の病態や治療に合致する所見

A patient is admitted with diabetic ketoacidosis. Which prescribed treatment is usually started first?

1. AOral potassium tablets
2. BIV isotonic fluid such as 0.9% sodium chloride
3. CA high-carbohydrate meal
4. DSubcutaneous long-acting insulin only, given once

An anxious patient is breathing very fast and has tingling fingers. The blood gas shows pH 7.51 and PaCO₂ 29 mmHg (3.9 kPa). What should the nurse do first?

1. AGive oxygen at the highest flow and leave the room
2. BGive IV sodium bicarbonate as soon as it can be found
3. CEncourage the patient to breathe even faster
4. DStay with the patient and coach slow, calm breathing

A pregnant nurse is on the unit. Which patient should the charge nurse avoid assigning to her?

1. AA patient with a fractured wrist
2. BA patient with type 2 diabetes who needs insulin teaching before discharge
3. CA patient with a sealed radioactive implant for cervical cancer
4. DA patient after a hip replacement

A nurse has a needlestick injury from a used needle. What should the nurse do first?

1. AScrub the area with bleach
2. BFinish the shift and report it tomorrow
3. CWash the area with soap and water
4. DSqueeze the wound hard and suck it

A toddler with tetralogy of Fallot becomes very blue and breathless while crying. What should the nurse do first?

1. AEncourage the child to keep crying to open the lungs
2. BPlace the child in a knee-to-chest position
3. CGive a large drink of water to calm the child
4. DLay the child flat on their back