解答つき臨床看護学ワークシート

A pressure ulcer with partial-thickness skin loss, seen as a shallow open wound or an intact blister, is which category (stage)?

1. ACategory 1
2. BCategory 2
3. CCategory 3
4. DCategory 4

重症 COPD の患者で、より低い酸素飽和度の目標（88～92%）がよく使われるのはなぜですか？

1. A肺がまったく酸素を吸収できないから
2. B酸素は COPD のときだけ燃えやすいから
3. Cこうした患者の一部では、高流量の酸素が二酸化炭素の貯留を起こすことがあるから
4. D酸素が胸の痛みを悪化させるから

グラスゴー・コーマ・スケール（GCS）は何を評価しますか？

1. A瞳孔の大きさと反応、血圧、脈拍
2. B痛み、吐き気、不安
3. C開眼、言語反応、運動反応
4. D反射、筋緊張、感覚

ジゴキシンを服用中の患者に吐き気があり、脈拍は 48 回/分で、何もかも黄色く見えると訴えています。何を疑うべきですか？

1. A対応不要の正常な副作用
2. B甲状腺機能亢進症
3. Cジゴキシン中毒
4. D低血糖

Which blood results are typical of Addison's disease (primary adrenal insufficiency)?

1. ALow haemoglobin and high platelets
2. BHigh sodium and low potassium
3. CLow sodium and high potassium
4. DHigh glucose and high calcium

A patient on the ward has shingles with open blisters. Which people are most at risk from contact?

1. APeople who have already had chickenpox in childhood and are now healthy
2. BOnly people over 80 who have already had shingles themselves
3. CNo one, because shingles cannot spread
4. DPregnant women and immunocompromised people who have not had chickenpox

A patient with a small leg wound has severe pain out of proportion to the skin changes, rapidly spreading redness and signs of sepsis. What should be suspected?

1. ANecrotising fasciitis
2. BA superficial bruise
3. CAn allergic reaction to the dressing
4. DSimple cellulitis that will settle with oral antibiotics

A patient who used sildenafil the day before develops chest pain. Why is glyceryl trinitrate (GTN, nitroglycerin) normally avoided?

1. AThe combination causes severe hyperkalaemia
2. BThe combination can cause a severe, dangerous fall in blood pressure
3. CGTN makes sildenafil toxic to the liver
4. DSildenafil stops GTN from being absorbed under the tongue at all