解答つき臨床看護学ワークシート

An ileostomy is an opening onto the abdominal wall from the:

1. AColon (large intestine)
2. BBladder
3. CStomach
4. DIleum (small intestine)

The MUST tool is used to screen adults for:

1. ADepression
2. BMalnutrition
3. CRisk of falls
4. DPressure ulcer risk

The term "proteinuria" means:

1. AProtein in the urine
2. BPainful passing of urine
3. CToo much protein in the diet
4. DLow protein in the blood

A patient without diabetes is started on high-dose prednisolone. Why might capillary blood glucose be monitored?

1. ASteroids destroy the pancreas
2. BSteroids always cause hypoglycaemia
3. CSteroids can raise the blood glucose
4. DSteroids make glucose meters inaccurate

敗血症が疑われる患者で血清乳酸値を測るのはなぜですか？

1. A尿路感染症があるかどうかがわかるから
2. B乳酸値の上昇は組織灌流の低下とリスクの高さを示すから
3. C患者の血糖を測れるから
4. Dどの抗菌薬を投与すべきかを確定できるから

Which advice should be given to a patient with a new permanent pacemaker?

1. ANever raise the arm on that side again
2. BTell staff about the pacemaker before any MRI scan or procedure
3. CStop all heart medicines straight away
4. DAvoid using all household electrical appliances such as kettles

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

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

Which sign is often a late finding in hypovolaemic shock in a young, previously fit adult?

1. AA fall in blood pressure
2. BCool peripheries
3. CA slightly raised respiratory rate
4. DA rise in heart rate