解答つき優先順位の決定と委任ワークシート

What does a “STAT” order mean?

1. ACarry it out only if the patient asks for it
2. BCarry it out immediately
3. CCarry it out within the next 24 hours
4. DCarry it out at the next routine round

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. AA-C-B：気道、圧迫、呼吸
2. BA-B-C：気道、呼吸、循環
3. CC-A-B：胸骨圧迫、気道、呼吸
4. DB-C-A：呼吸、循環、気道

Which of these is one of the standard “rights” of medication administration?

1. ARight patient
2. BRight ward
3. CRight brand
4. DRight colleague

A patient on a continuous IV heparin infusion has new black, tarry stools and an aPTT well above the target range. What should the nurse do first?

1. AGive a dose of vitamin K by mouth
2. BCheck the pump rate and leave the infusion running
3. CStop the heparin infusion and inform the provider
4. DOffer an iron-rich meal to replace the lost blood

A patient with diabetes is unresponsive and has a blood glucose of 40 mg/dL (2.2 mmol/L). What should the nurse do first?

1. APour orange juice into the patient’s mouth
2. BGive the scheduled dose of insulin
3. CGive IV dextrose or glucagon as prescribed
4. DWait 15 minutes and recheck the glucose

予測されず、速やかなフォローアップが必要な所見はどれですか？

1. Aヘパリンを点滴中の患者に、新たな黒いタール状の便が出た
2. B長年の COPD の患者が樽状胸郭を呈している
3. C腹腔鏡下胆嚢手術の 1 日後の患者が、右肩の痛みを訴えている
4. D肝硬変が知られている患者の黄色い皮膚が、変わっていない

A patient receiving comfort-focused end-of-life care is distressed by breathlessness. Which approach is most appropriate?

1. AGive prescribed opioids and use positioning and a fan to relieve breathlessness
2. BLeave the patient alone so they can rest
3. CWithhold all opioids because they may slow breathing
4. DStart a series of aggressive tests to find the exact cause of the breathlessness

A patient with diabetes takes propranolol. Which sign of hypoglycemia is most likely to still appear?

1. ATremor
2. BPalpitations
3. CSweating
4. DTachycardia