解答つき臨床看護学ワークシート

Which sign is typical of right-sided heart failure?

1. APinpoint pupils, drowsiness and a slow breathing rate
2. BA high fever with rigors
3. CSwollen ankles and a raised jugular venous pressure
4. DCrackles in both lungs and pink frothy sputum

患者の尿量を観察しています。成人で目標としてよく使われる 1 時間あたりの最低尿量は？

1. A1 kg あたり 1 時間に約 0.05 mL
2. B体重 1 kg あたり 1 時間に約 0.5 mL
3. C1 日に少しでも尿が出ていれば何 mL でもよい
4. D1 kg あたり 1 時間に約 5 mL

Which group of findings suggests fluid overload?

1. AWeight loss, sunken eyes and a dry mouth
2. BLow jugular venous pressure and cool skin
3. CSwollen ankles, breathlessness, lung crackles and weight gain
4. DDry mouth, thirst, dark urine and a rapid weak pulse

Which measure helps reduce the risk of surgical site infection?

1. AShaving the area with a razor the night before surgery
2. BChanging the wound dressing every hour
3. CLeaving the patient cool during surgery to slow bacterial growth
4. DRemoving hair, if needed, with clippers rather than a razor

A spontaneously breathing patient is critically ill and hypoxic. Which oxygen delivery gives the highest concentration?

1. AVenturi mask set to 24%
2. BNon-rebreathe mask with reservoir bag at 15 L/min
3. CNasal cannula at 2 L/min
4. DSimple face mask at 5 L/min with the patient sitting up

How does ulcerative colitis differ from Crohn's disease?

1. AUlcerative colitis typically causes patchy "skip" lesions
2. BUlcerative colitis can affect any part of the gut from mouth to anus
3. CUlcerative colitis affects only the colon, continuously from the rectum
4. DUlcerative colitis always affects the full thickness of the bowel wall

A patient starting a DOAC is taught about missed doses. Which statement shows a need for further teaching?

1. A"I will tell other doctors and my dentist I take an anticoagulant."
2. B"I will report any blood in my urine."
3. C"I will take it at the same time each day."
4. D"If I forget a dose, I'll take two the next day to catch up."

Why must severe chronic hyponatraemia be corrected slowly?

1. AToo-rapid correction can cause osmotic demyelination in the brain
2. BFast correction causes severe hypoglycaemia and seizures in most patients
3. CSodium given quickly causes immediate cardiac arrest
4. DFast correction makes the kidneys stop producing urine