解答つき臨床看護学ワークシート

Anaemia means:

1. AA higher than normal white cell count
2. BA lower than normal haemoglobin level
3. CA low platelet count
4. DA raised blood glucose level

寝たきりの患者の褥瘡を防ぐ最も重要な対策は？

1. A赤くなった部分を強くマッサージすること
2. B一日中同じ体位を保つこと
3. C圧迫を除くための定期的な体位変換
4. D水分を制限すること

仙骨部の皮膚が損傷なく、指で押しても消えない発赤がある場合、褥瘡のどのカテゴリーに分類されますか？

1. Aカテゴリー 4
2. Bカテゴリー 1
3. Cカテゴリー 3
4. Dカテゴリー 2

After removing a peripheral IV cannula, what should the nurse check?

1. AThat the cannula is intact, and apply pressure until bleeding stops
2. BThat the patient's blood glucose is normal before removal
3. CThat the cannula is put back in its sterile packet for the next patient
4. DThat the site is left uncovered and bleeding freely

What happens in third-degree (complete) heart block?

1. AThe atria beat chaotically with no P waves, and the ventricular rate is irregular
2. BNo impulses from the atria reach the ventricles, so they beat independently
3. CEvery impulse reaches the ventricles, but each one is slightly delayed
4. DThe ventricles beat very fast and regularly

Which blood results are typical of Addison's disease (primary adrenal insufficiency)?

1. AHigh glucose and high calcium
2. BLow sodium and high potassium
3. CHigh sodium and low potassium
4. DLow haemoglobin and high platelets

A patient with an epidural catheter develops new back pain and increasing leg weakness when the block should be wearing off. What should be suspected?

1. AThe normal expected effect of the local anaesthetic
2. BAn epidural haematoma or abscess compressing the spinal cord
3. CMuscle strain from lying in the same position in bed for many hours
4. DMild hypokalaemia

An older patient has fallen several times since starting a new medicine. Which drug group is most likely to contribute?

1. AVitamin D supplements
2. BEmollient creams applied to the legs
3. CLubricating eye drops
4. DBenzodiazepine sleeping tablets