解答つき臨床看護学ワークシート

Why is jewellery removed or taped before surgery?

1. ABecause metal jewellery increases blood loss during the operation
2. BBecause metal raises the risk of postoperative nausea
3. CTo reduce the risk of diathermy burns and pressure injury
4. DTo make the patient's weight easier to measure

A medicine given "transdermally" is given:

1. AInto the rectum
2. BUnder the tongue, where it dissolves
3. CInto a muscle
4. DThrough the skin, usually from a patch

オピオイド鎮痛薬を使っている患者で特に観察すべきことは？

1. A食欲の増加
2. B下痢
3. C呼吸抑制と鎮静
4. D高血圧

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

Which blood result often rises in an upper GI bleed because blood is digested in the gut?

1. AGlucose
2. BSodium
3. CUrea (blood urea nitrogen)
4. DCalcium

Under the Mental Capacity Act 2005 (England and Wales), which principle applies?

1. AA diagnosis of dementia means the person lacks capacity for all decisions
2. BEveryone over 75 is assumed to lack capacity
3. CA person must be assumed to have capacity unless it is shown that they lack it
4. DCapacity is decided by the next of kin, who must sign a form for every decision

急性消化管出血の患者の心拍数は 120 回/分、血圧は 90/60 mmHg です。助けを呼んだ後の看護の優先事項は？

1. A便の色を確認するまで対応を遅らせる
2. Bひとりでトイレまで歩くよう勧める
3. C太い留置針で静脈路を確保し、輸液や輸血の準備をする
4. Dエネルギーを回復させるために十分な食事を与える

A nurse is teaching a patient who is starting warfarin. Which statement shows a need for further teaching?

1. A"I can take aspirin if I get a headache."
2. B"I will keep my INR blood test appointments."
3. C"I will report black stools or unusual bruising."
4. D"I will tell my dentist that I take warfarin."