解答つき優先順位の決定と委任ワークシート

Which serum lithium level suggests toxicity?

1. A0.7 mEq/L
2. B2.2 mEq/L
3. C0.8 mEq/L
4. D1.0 mEq/L

In mass-casualty triage, what does a yellow tag usually mean?

1. ADeceased or not expected to survive
2. BImmediate: life-threatening injuries that are survivable with quick care
3. CDelayed: serious injuries, but care can safely wait a little
4. DMinor: the walking wounded

How many levels does the Emergency Severity Index have?

1. AFive
2. BSix
3. CFour
4. DThree

A nurse teaches a patient with COPD pursed-lip breathing. Which statement shows a need for further teaching?

1. A“I will breathe in through my mouth and out quickly through my nose.”
2. B“I will breathe in slowly through my nose.”
3. C“I will make my breath out about twice as long as my breath in.”
4. D“I will breathe out slowly through pursed lips.”

A patient with a valid do-not-resuscitate order (DNR; called DNACPR in the UK) stops breathing and has no pulse. What should the nurse do?

1. ACall the cardiac arrest team and let them decide
2. BFollow the DNR order and do not start CPR
3. CStart CPR and stop when the family arrives
4. DStart chest compressions but not rescue breaths

One hour after a vaginal birth, the nurse finds a soft, boggy uterus and heavy bleeding. What is the first action?

1. AApply an ice pack to the perineum
2. BEncourage the patient to rest quietly
3. CMassage the fundus
4. DOffer a meal and fluids

A nurse must care for a patient with a radioactive implant. Which approach best limits the nurse’s exposure?

1. ALimit time in the room, keep as far away as possible and use shielding
2. BWear a surgical mask to block the radiation
3. CSpend longer in the room each time but visit less often during the shift
4. DStand close to the patient to finish care faster

An infant with pyloric stenosis has repeated projectile vomiting. Which acid-base imbalance is most likely?

1. ARespiratory acidosis
2. BMetabolic alkalosis
3. CRespiratory alkalosis
4. DMetabolic acidosis