解答つき臨床看護学ワークシート

What is the usual normal range for serum potassium in adults (in mmol/L, numerically equal to mEq/L)?

1. AAbout 6.5–8.0 mmol/L
2. BAbout 3.5–5.0 mmol/L
3. CAbout 1.5–2.5 mmol/L
4. DAbout 135–145 mmol/L

Why do nurses wear protective gloves and gowns when handling cytotoxic drugs?

1. ATo stop the patient from seeing the drug
2. BTo keep the drug at the right temperature during use
3. CTo protect themselves from exposure to hazardous drugs
4. DTo make the drug work faster

What does a pulse oximeter measure?

1. AThe amount of oxygen dissolved in the plasma
2. BThe partial pressure of carbon dioxide in the blood
3. CThe percentage of haemoglobin saturated with oxygen
4. DThe concentration of haemoglobin in the blood

高齢の患者が病棟で転倒のリスクが高い状態です。最も適切な看護行為は？

1. A患者を常にベッド上に制限する
2. Bナースコールと持ち物を手の届くところに置き、眠気を起こす薬を見直す
3. Cすべての患者に自動的にベッド柵を使う
4. D壊れないように患者の眼鏡を外しておく

After a laparoscopic cholecystectomy, a patient has pain in the shoulder tip. What is the most likely cause?

1. AA heart attack caused by the stress of surgery
2. BA broken collarbone from being moved onto the table
3. CGas used during the operation irritating the diaphragm
4. DAn allergic reaction to the dressing

Which side effect is common when a patient starts taking metformin?

1. ASevere headache
2. BNausea, abdominal discomfort or diarrhoea
3. CHypoglycaemia in most patients who take it
4. DRapid weight gain

Soon after starting chemotherapy for a high-grade lymphoma, a patient has rising potassium, phosphate and uric acid with falling urine output. What is the most likely cause?

1. ARefeeding syndrome
2. BTumour lysis syndrome
3. CAdrenal insufficiency
4. DSyndrome of inappropriate ADH secretion

A patient with a central venous catheter develops fever and rigors shortly after the line is flushed, with no other obvious source. What should be suspected?

1. AA pulmonary embolism
2. BAn allergic reaction to the saline flush
3. CNormal response to line use
4. DA catheter-related bloodstream infection