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

3 段階のトリアージ分類で、足首を捻挫し、バイタルサインが正常で軽い痛みのある患者は、通常どのように分類されますか？

  1. A緊急（救急）
  2. B準緊急（急ぐ）
  3. C緊急性なし（非緊急）
  4. D救命困難
2.やさしい

In the ABC framework, which finding is mainly a breathing problem?

  1. AStridor caused by a swollen throat
  2. BShallow breaths with an SpO₂ of 85% on room air
  3. CHeart rate 150/min with a low blood pressure and cold skin
  4. DA blood glucose of 60 mg/dL (3.3 mmol/L)
3.やさしい

What is the purpose of the “time-out” just before a surgical procedure?

  1. ATo let the family say goodbye to the patient
  2. BTo count the swabs at the end of the operation
  3. CTo give the surgeon a short rest before the operation starts
  4. DTo confirm the correct patient, procedure and site
4.ふつう

A patient has a serum potassium of 2.9 mEq/L. Which finding should the nurse expect?

  1. AMuscle weakness and U waves on the ECG
  2. BFlushed, warm skin and a slow heart rate
  3. CA rise in urine output and thirst only
  4. DTall, peaked T waves and muscle twitching
5.ふつう

A swimmer is found unresponsive after diving into shallow water. Which method should the nurse use to open the airway?

  1. AHead-tilt, chin-lift with full neck extension
  2. BTurning the head to the side to drain water
  3. CRaising the chin while bending the neck forward
  4. DJaw thrust, keeping the head and neck in line
6.ふつう

A patient has a nasogastric tube on suction. Which task can the nurse delegate to a nursing assistant?

  1. AAssessing the drainage for blood
  2. BChecking the tube’s position
  3. CGiving mouth care
  4. DIrrigating the tube when it blocks
7.むずかしい

Two weeks after birth, a mother says she hears voices telling her the baby is evil. What is the priority?

  1. AKeep the mother and baby safe and arrange urgent psychiatric care
  2. BReassure her that this is normal “baby blues”
  3. CAdvise more sleep and book a routine follow-up visit for next month
  4. DLeave her alone with the baby to bond
8.むずかしい

During birth, the baby’s head delivers but the shoulders do not follow. What should the nurse do first?

  1. AAsk the mother to stop pushing and wait an hour
  2. BPull hard on the baby’s head and neck to free the trapped shoulders quickly
  3. CPush firmly on the top of the uterus (fundal pressure)
  4. DHelp with the McRoberts position and give suprapubic pressure as directed

解答

  1. 1. C · 緊急性なし（非緊急）
  2. 2. B · Shallow breaths with an SpO₂ of 85% on room air
  3. 3. D · To confirm the correct patient, procedure and site
  4. 4. A · Muscle weakness and U waves on the ECG
  5. 5. D · Jaw thrust, keeping the head and neck in line
  6. 6. C · Giving mouth care
  7. 7. A · Keep the mother and baby safe and arrange urgent psychiatric care
  8. 8. D · Help with the McRoberts position and give suprapubic pressure as directed

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