解答つき優先順位の決定と委任ワークシート

A nurse is worried about a patient’s worsening condition, and the provider does not respond to the concern. Following the chain of command, whom does the nurse usually contact next?

1. AThe charge nurse or nursing supervisor
2. BThe patient’s next of kin
3. CThe pharmacy technician on duty that day
4. DThe hospital’s chief executive

成人の心停止で、現在の一次救命処置はどの順序を用いますか？

1. AC-A-B：胸骨圧迫、気道、呼吸
2. BA-C-B：気道、圧迫、呼吸
3. CB-C-A：呼吸、循環、気道
4. DA-B-C：気道、呼吸、循環

Which protective equipment is needed for airborne precautions?

1. AA plastic apron only
2. BA fit-tested N95 or FFP3 respirator
3. CGloves only
4. DA simple surgical mask worn loosely

股関節置換術の 2 日後の患者に対して、看護助手が行うのに適切な業務はどれですか？

1. A切開部の発赤、熱感、排液を観察する
2. B股関節の禁忌肢位を守りながら、患者が椅子に移るのを手伝う
3. C前回の鎮痛薬で痛みが抑えられたかを評価する
4. D退院前に、股関節の禁忌肢位を患者に指導する

A patient is booked for a CT scan with iodinated contrast. Which of the patient’s medications may need to be held according to protocol?

1. ALevothyroxine
2. BMetformin
3. COmeprazole
4. DAcetaminophen (paracetamol)

One day after surgery, a patient walked safely with the RN this morning. The RN now asks a nursing assistant to walk her again. Which instruction is most important?

1. A“Walk her to the end of the corridor and back twice before lunch.”
2. B“Stop and call me at once if she feels dizzy or short of breath.”
3. C“Make sure she wears her own slippers if she has them.”
4. D“Try to finish the walk before the lunch trays arrive.”

A patient with a severe asthma attack had a PaCO₂ of 32 mmHg (4.3 kPa) on arrival. An hour later it is 46 mmHg (6.1 kPa), and the patient seems tired. What does this suggest?

1. AA laboratory error that should be ignored
2. BThe asthma is improving, because the PaCO₂ is now near normal
3. CRespiratory muscle fatigue with possible impending respiratory failure
4. DThe patient is hyperventilating even more than before and needs calming

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