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

In delegation, what does supervision mean?

1. ADoing every delegated task yourself to make sure that it is done right
2. BSigning the delegate’s documentation without checking it
3. CGuidance, follow-up and evaluation of the delegated task by the nurse
4. DLeaving the delegate to finish without any contact

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

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

A patient is receiving opioids after surgery. Which finding usually comes before opioid-induced respiratory depression?

1. AIncreasing sleepiness that is hard to rouse
2. BA sudden rise in pain scores
3. CA rise in blood pressure with flushed cheeks
4. DIncreased appetite and thirst

A nurse has given rapid-acting insulin, and then learns that the patient’s meal tray will be 45 minutes late. What should the nurse do?

1. ATell the patient to wait and do nothing until the tray comes
2. BAsk the patient to walk around the ward until the food arrives
3. CGet the patient some carbohydrate food now and check the glucose
4. DGive a second, smaller dose of insulin when the meal tray finally arrives

内科の混合病棟で、看護師が最初に診るべき患者はどれですか？

1. A明日の退院についての書面の情報を求めている患者
2. Bアセトアミノフェンを求めている、軽い緊張型頭痛の患者
3. C持ち物を人にあげ、自殺の計画をもっている、うつ病の患者
4. D血圧が 136/84 mmHg の高血圧の患者

循環器病棟で、看護師が最初に診るべき患者はどれですか？

1. Aジゴキシンを服用し、脈拍が 48 回/分で、悪心があり、カリウムが 3.0 mEq/L の患者
2. B心不全で、昨日から体重が 0.3 kg 増えた患者
3. C心房細動で、心拍数が 88 回/分で、以前と同様に不整な患者
4. D明日の検査のために絶食を指示された患者

An older adult with type 2 diabetes is confused and very dehydrated. The glucose is 900 mg/dL (50 mmol/L), and blood and urine show no significant ketones. What is the most likely problem?

1. AHyperosmolar hyperglycemic state
2. BDiabetic ketoacidosis
3. CStress-induced mild hyperglycemia
4. DHypoglycemia with rebound