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

In the Emergency Severity Index (ESI), which patient fits level 2?

  1. AA stable patient who needs no resources
  2. BA high-risk situation, new confusion, or severe pain or distress
  3. CA stable patient who needs one resource
  4. DA patient who needs an immediate life-saving intervention to survive
2.やさしい

Which finding meets the usual definition of orthostatic hypotension?

  1. ABlood pressure is the same lying and standing
  2. BSystolic pressure rises by 20 mmHg or more within 3 minutes of standing up
  3. CSystolic pressure falls by 20 mmHg or more within 3 minutes of standing
  4. DHeart rate falls by 5/min after lying down
3.やさしい

An adult arrives at the emergency department with chest pain. Which test should be done within about 10 minutes of arrival?

  1. AAn exercise stress test
  2. BA 12-lead ECG
  3. CA lipid profile
  4. DA chest CT scan
4.ふつう

After a hip replacement using a posterior approach, which statement shows a need for further teaching?

  1. A“I will keep a pillow between my knees when I lie on my side in bed.”
  2. B“I will cross my legs when I sit, so I am more comfortable.”
  3. C“I will not bend my hip past 90 degrees.”
  4. D“I will use a raised toilet seat at home.”
5.ふつう

A nurse teaches a patient who has started warfarin. Which statement shows a need for further teaching?

  1. A“I will tell my dentist and pharmacist that I take warfarin.”
  2. B“I will use a soft toothbrush.”
  3. C“If I miss a dose, I will take two the next day.”
  4. D“I will keep my INR blood test appointments.”
6.ふつう

A nurse has called the rapid response team for a deteriorating patient. What should the nurse do while waiting for the team?

  1. AStay with the patient, give oxygen as prescribed and have recent vital signs ready
  2. BGive a dose of every as-needed medication on the chart
  3. CLeave the patient for a few minutes to find the relatives and explain what is happening
  4. DGo to the station to finish documentation for other patients
7.むずかしい

START 法のトリアージで、歩けない成人が 1 分間に 28 回呼吸し、橈骨動脈の脈を触れず、毛細血管再充満時間が 4 秒です。どの区分になりますか？

  1. A赤（最優先）
  2. B呼吸数が 30 回/分未満なので、黄（待機可能）
  3. C黒（救命困難）
  4. D緑（軽症）
8.むずかしい

START 法のトリアージで、歩けない成人が 1 分間に 24 回呼吸し、橈骨動脈の脈を触れますが、簡単な指示に従えません。どの区分になりますか？

  1. A黒（救命困難）
  2. B黄（待機可能）
  3. C赤（最優先）
  4. D緑（軽症）

解答

  1. 1. B · A high-risk situation, new confusion, or severe pain or distress
  2. 2. C · Systolic pressure falls by 20 mmHg or more within 3 minutes of standing
  3. 3. B · A 12-lead ECG
  4. 4. B · “I will cross my legs when I sit, so I am more comfortable.”
  5. 5. C · “If I miss a dose, I will take two the next day.”
  6. 6. A · Stay with the patient, give oxygen as prescribed and have recent vital signs ready
  7. 7. A · 赤（最優先）
  8. 8. C · 赤（最優先）

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