解答つき優先順位の決定と委任ワークシート

Which blood pressure in an adult suggests hypotension?

1. A110/70 mmHg
2. B82/48 mmHg
3. C118/76 mmHg
4. D126/82 mmHg

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

1. AThe patient receiving the care
2. BNobody, once the task has been delegated
3. CThe assistant who accepted the task
4. DOnly the nurse manager

アセスメント、看護の判断、評価を必要とする業務は、どうすべきですか？

1. A常に LPN/LVN に委任する
2. B最も経験豊富な看護助手に委任する
3. C看護師（RN）が行う
4. D患者の家族に任せる

A nurse teaches foot care to a patient with diabetes. Which statement shows a need for further teaching?

1. A“I will dry well between my toes after washing.”
2. B“I will wear shoes that fit well, even at home.”
3. C“I will soak my feet in hot water every evening.”
4. D“I will check the soles of my feet every day with a mirror.”

A patient with a valid do-not-resuscitate order (DNR; called DNACPR in the UK) stops breathing and has no pulse. What should the nurse do?

1. AStart chest compressions but not rescue breaths
2. BStart CPR and stop when the family arrives
3. CCall the cardiac arrest team and let them decide
4. DFollow the DNR order and do not start CPR

A drowsy patient who has just returned from surgery starts to vomit. What should the nurse do first?

1. ARaise the legs above the heart
2. BGive a drink of water
3. CTurn the patient onto their side
4. DGive an oral anti-sickness tablet

Two patients on the unit have the same surname. What should the nurse do before giving a medication?

1. ACheck two identifiers against the wristband and the medication record
2. BAsk the patient, “Are you Mr Smith?” and give the drug once he says yes
3. CAsk a nursing assistant which patient is which
4. DUse the room number as the main identifier

A patient takes lithium. Which statement shows a need for further teaching?

1. A“I will drink enough fluid every day.”
2. B“I will go for my blood tests as planned.”
3. C“I will take ibuprofen every day for my headaches.”
4. D“I will keep my daily salt intake about the same as usual.”