解答つき臨床看護学ワークシート

Hypothermia in an adult is usually defined as a core body temperature below:

1. A36.5 °C
2. B35 °C
3. C37 °C
4. D38 °C

The term "haematuria" means:

1. ABlood in the stool
2. BBlood in the vomit
3. CBlood in the sputum
4. DBlood in the urine

The term "dyspnoea" means:

1. ABreathlessness
2. BChest pain on breathing
3. CNoisy breathing during sleep
4. DA cough with sputum

心不全の患者にピンク色の泡状の痰があり、両肺全体で断続性ラ音が聞こえます。何が起きていますか？

1. A喘息発作
2. B気胸
3. C急性肺水腫
4. D上部消化管出血

Which advice is important for a patient on long-term oral corticosteroids?

1. ADouble the dose if a dose is missed
2. BTake them on an empty stomach at night
3. CDo not stop them suddenly
4. DTake them only when symptoms flare

A dying patient can no longer drink and has a dry mouth. What is the most appropriate nursing care?

1. AStarting a fast intravenous infusion to correct the dryness
2. BFrequent mouth care that keeps the lips and mouth moist
3. CInserting a nasogastric tube for fluids
4. DLeaving the mouth alone to avoid disturbing them

A patient on an unfractionated heparin infusion is also started on warfarin. Which tests are used to monitor each drug?

1. APlatelet count for both drugs
2. BAPTT for heparin and INR for warfarin
3. CINR for heparin and APTT for warfarin
4. DD-dimer for both drugs

術後の患者で肺塞栓症を最も強く示唆する所見は？

1. A1 週間かけてゆっくり始まる、黄色い痰を伴う咳と軽い発熱
2. B頻脈を伴う突然の息切れと胸膜痛
3. Cサルブタモールで良くなる喘鳴
4. D高血圧を伴う遅い脈