解答つき優先順位の決定と委任ワークシート

気道の問題である所見はどれですか？

1. A吸気時に両肺の下部で聞こえる細かい湿性ラ音
2. B嗄声を伴う舌と唇の腫れ
3. C弱く細い橈骨動脈の脈拍
4. D10 段階中 8 の腹痛

Which single action is the most effective way to prevent the spread of infection in hospital?

1. AWearing a mask all day
2. BGiving every patient antibiotics
3. CHand hygiene
4. DKeeping the windows closed

Which protective equipment is needed for airborne precautions?

1. AA plastic apron only
2. BA fit-tested N95 or FFP3 respirator
3. CA simple surgical mask worn loosely
4. DGloves only

A patient is booked for a CT scan with iodinated contrast. Which of the patient’s medications may need to be held according to protocol?

1. ALevothyroxine
2. BOmeprazole
3. CAcetaminophen (paracetamol)
4. DMetformin

患者が看護助手に、新しい薬の副作用について尋ねました。助手はどうすべきですか？

1. A薬の患者向け説明書に載っている副作用を説明する
2. B薬をインターネットで調べて、書かれていることを読み上げる
3. C副作用はまれだと患者を安心させる
4. D看護師が答えにくると伝え、看護師に知らせる

A young adult has just started an SSRI antidepressant for major depression. What should the nurse monitor most closely in the first weeks?

1. ARising blood glucose levels
2. BThoughts of suicide or self-harm
3. CHair growth and skin color
4. DWeight loss from too much appetite

A nurse teaches a patient to inject enoxaparin at home. Which statement shows a need for further teaching?

1. A“I will change the injection site each time.”
2. B“I will tell my doctor if I notice unusual bruising or bleeding.”
3. C“I will inject into the fat of my abdomen, away from the navel.”
4. D“I will rub the area after the injection to help it absorb.”

During a power cut, which patient is the nurse’s first priority?

1. AA patient whose bed will not raise electrically
2. BA patient whose call light is not working
3. CA patient who depends on a ventilator
4. DA patient watching television when it switched off