解答つき臨床看護学ワークシート

「メレナ（黒色便）」という用語が表すのは？

1. A灰白色の粘土色の便
2. B黒くてタール状の、悪臭のある便
3. C吐物や痰に混じる鮮紅色の血液
4. D濃い黄色の尿

What does "cyanosis" describe?

1. APale skin caused by fear or pain
2. BA red, flushed face from fever
3. CA bluish colour of the skin or lips from poorly oxygenated blood
4. DA yellow colour of the skin and eyes caused by raised bilirubin

When removing personal protective equipment after patient care, which item is usually removed first?

1. AHair cover
2. BEye protection
3. CFace mask
4. DGloves

Why must a patient with a new coronary stent not stop their antiplatelet medicines without specialist advice?

1. AStopping early greatly increases the risk of a clot forming in the stent
2. BStopping causes immediate kidney failure
3. CThe stent will dissolve if the drugs are stopped before the course ends
4. DStopping causes severe low blood pressure

During a red cell transfusion, when are serious acute reactions most likely to start?

1. AAfter the third unit only
2. BOnly after the unit has finished
3. CIn the first 15 minutes
4. DAbout 24 hours later

Which type of painkiller should a patient with liver cirrhosis usually avoid?

1. AHot packs applied to a painful joint
2. BLocal anaesthetic creams
3. CParacetamol (acetaminophen), given in a carefully reduced and monitored dose
4. DNon-steroidal anti-inflammatory drugs such as ibuprofen

抗凝固薬を使用中の患者が転倒して頭を打ちましたが、元気そうに見えます。正しい対応は？

1. A医師の診察と、おそらく CT 検査を手配し、神経学的観察を行う
2. B元気そうなので何もしない
3. C観察なしで眠るよう勧める
4. D抗凝固薬を追加で投与する

Four call bells ring at the same time. Which patient should the nurse see first?

1. AA patient asking for pain relief for chronic back pain that they rate as 3/10
2. BA patient who has just become breathless after starting an IV antibiotic
3. CA patient who needs help to go to the toilet and has rung twice
4. DA patient asking what time they will be discharged