解答つき臨床看護学ワークシート

How is body mass index (BMI) calculated?

1. AWaist size divided by hip size
2. BWeight in kilograms divided by height in metres squared
3. CWeight in kilograms multiplied by height in metres
4. DHeight in metres divided by weight in kilograms, then squared

How should nursing records be written?

1. AUsing personal abbreviations that only the nurse who wrote them understands
2. BIn pencil so that mistakes can be rubbed out
3. CAt the end of the week, written from memory in one go to save time
4. DAccurately and as soon as possible after the event, with date, time and signature

Which blood test is most commonly used to confirm damage to the heart muscle in a suspected heart attack?

1. ABilirubin
2. BD-dimer
3. CAmylase
4. DTroponin

A patient has lost more than 10% of their body weight without trying over the last few months and has a low BMI. What is the most appropriate action?

1. ARefer to the dietitian and start a nutrition care plan with food charts
2. BRestrict fluids to encourage appetite and give a low-protein diet instead
3. CEncourage a low-calorie diet
4. DWeigh the patient again in six months and review at that point

患者の NEWS2 スコアが 7 に上がりました。適切な対応は？

1. A鎮静薬を与えて後で再確認する
2. Bスコアを記録し、観察を増やして、朝の回診を待つ
3. C集中治療の技能を持つ臨床チームによる緊急評価
4. D12 時間ごとの観察を続ける

What is one advantage of a direct oral anticoagulant (DOAC) such as apixaban compared with warfarin?

1. AIt does not need routine INR monitoring
2. BIt is safe in all patients with severe kidney failure
3. CIt has no risk of bleeding
4. DIt never interacts with other drugs

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. ASimple cellulitis that will settle with oral antibiotics
2. BA superficial bruise
3. CNecrotising fasciitis
4. DAn allergic reaction to the dressing

急性膵炎の患者が背部に放散する強い心窩部痛を訴えています。最も重要な看護ケアは？

1. A観察なしの厳格な安静
2. Bすべての水分の制限
3. C膵臓を刺激するための脂肪の多い食事
4. D十分な鎮痛、輸液、厳密な水分出納の観察