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

ABC の枠組みで、循環の問題はどれですか？

  1. A止まらない出血
  2. B喘鳴（ストライダー）
  3. C不安
  4. D呼吸数 32 回/分
2.やさしい

When a nurse receives a critical lab result by phone, what does “read-back” mean?

  1. AReading the result aloud to the patient straight away
  2. BReading the result to the next shift at handover
  3. CRepeating the result back to the caller to confirm it
  4. DWaiting for the written report before doing anything
3.やさしい

Which maneuver opens the airway of an unresponsive adult with no suspected spinal injury?

  1. ATurning the head sharply to one side
  2. BHead-tilt, chin-lift
  3. CJaw thrust without head tilt
  4. DRaising the legs above the heart
4.ふつう

A patient receiving chemotherapy has a temperature of 38.3 °C and a very low neutrophil count. What should the nurse do?

  1. AGive a cool shower and offer extra fluids, then wait and see what happens
  2. BReport it at once, because cultures and antibiotics are needed quickly
  3. CRecheck the temperature in four hours before telling anyone
  4. DDocument the reading and mention it at the next handover
5.ふつう

A patient had a colostomy formed yesterday. Which stoma appearance should be reported straight away?

  1. AMoist and pink-red
  2. BDark purple or black
  3. CA little bleeding when cleaned
  4. DSlightly swollen
6.ふつう

A patient with schizophrenia says voices are telling him to hurt his roommate. What is the priority?

  1. AKeep everyone safe and tell the team, as the risk of harm is high
  2. BTell him the voices are not real and leave him alone
  3. CAsk the roommate to stay in the room with him and help calm him down
  4. DIgnore the comment, because voices are part of his illness
7.むずかしい

看護師が、予定されている退院に疑問を呈すべき患者はどれですか？

  1. A手術の 2 日後で、新たに心拍数が 112 回/分、体温が 38.4 °C の患者
  2. Bヘルニア修復術の後で、排尿でき、食事をとっている患者
  3. C安定したギプスをつけ、松葉杖で安全に歩けている患者
  4. D肺炎で、経口抗菌薬により 48 時間熱が出ていない患者
8.むずかしい

A dehydrated child is to receive IV fluids with added potassium. Which finding should the nurse confirm first?

  1. AThat the child is passing urine
  2. BThat the child can walk without help
  3. CThat the child is hungry
  4. DThat the child’s temperature is normal

解答

  1. 1. A · 止まらない出血
  2. 2. C · Repeating the result back to the caller to confirm it
  3. 3. B · Head-tilt, chin-lift
  4. 4. B · Report it at once, because cultures and antibiotics are needed quickly
  5. 5. B · Dark purple or black
  6. 6. A · Keep everyone safe and tell the team, as the risk of harm is high
  7. 7. A · 手術の 2 日後で、新たに心拍数が 112 回/分、体温が 38.4 °C の患者
  8. 8. A · That the child is passing urine

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