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

最も安定している患者はどれですか？

  1. A血圧が 132/80 から 90/56 mmHg に下がった患者
  2. B膝の手術の 2 日後で、痛みが 3/10、バイタルサインが正常な患者
  3. C新たに錯乱が出現した患者
  4. D新たな胸痛のある患者
2.やさしい

How many levels does the Emergency Severity Index have?

  1. AThree
  2. BSix
  3. CFour
  4. DFive
3.やさしい

Which protective equipment is needed for droplet precautions?

  1. AA fitted N95 respirator at all times in the room
  2. BGloves only, with no mask
  3. CA lead apron and goggles
  4. DA surgical mask when close to the patient
4.ふつう

A patient with severe neutropenia needs a room. Which roommate is the safest choice?

  1. AA patient with C. difficile diarrhea
  2. BA patient after a knee replacement with no signs of infection
  3. CA patient with influenza
  4. DA patient with an infected, draining leg wound
5.ふつう

An arterial blood gas shows pH 7.28, PaCO₂ 40 mmHg (5.3 kPa) and HCO₃⁻ 16 mEq/L (mmol/L). How should the nurse interpret it?

  1. AMetabolic alkalosis
  2. BMetabolic acidosis
  3. CRespiratory alkalosis
  4. DRespiratory acidosis
6.ふつう

On a pediatric unit, which child does the nurse assess first?

  1. AA child in a new arm cast with pink, warm fingers and pain of 5/10
  2. BA child with croup who has a barking cough but no stridor at rest
  3. CA child with asthma who is now quiet with very little air movement
  4. DA child with a temperature of 38.2 °C after vaccination
7.むずかしい

The charge nurse overhears four instructions from an RN to a nursing assistant. Which one needs to be corrected?

  1. A“Walk him to the bathroom and back, and stay with him the whole time.”
  2. B“Check his glucose and give the insulin according to the sliding scale.”
  3. C“Help him wash and change, and tell me at once if you see any red or broken skin.”
  4. D“Check his glucose before lunch and tell me the number straight away.”
8.むずかしい

A patient with major depression has been withdrawn for weeks but is suddenly calm and cheerful and gives away her belongings. What should the nurse suspect?

  1. AA side effect of her antidepressant medicine that needs no special action
  2. BThat she is getting ready for discharge as planned
  3. CA full recovery, so observation can be reduced
  4. DA raised risk of suicide, because she may have made a decision

解答

  1. 1. B · 膝の手術の 2 日後で、痛みが 3/10、バイタルサインが正常な患者
  2. 2. D · Five
  3. 3. D · A surgical mask when close to the patient
  4. 4. B · A patient after a knee replacement with no signs of infection
  5. 5. B · Metabolic acidosis
  6. 6. C · A child with asthma who is now quiet with very little air movement
  7. 7. B · “Check his glucose and give the insulin according to the sliding scale.”
  8. 8. D · A raised risk of suicide, because she may have made a decision

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