解答つき臨床看護学ワークシート

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呼吸抑制と鎮静
2. B下痢
3. C食欲の増加
4. D高血圧

肺結核が疑われる患者のケアで使うべきなのは？

1. A個室での空気感染予防策
2. B接触予防策のみ
3. C特別な予防策はなし
4. D大部屋での標準予防策のみ

A pressure ulcer with partial-thickness skin loss, seen as a shallow open wound or an intact blister, is which category (stage)?

1. ACategory 3
2. BCategory 4
3. CCategory 2
4. DCategory 1

Which equipment must always be kept at the bedside of a patient with a tracheostomy?

1. AA peak flow meter and a nebuliser
2. BA blood pressure cuff and a spare nasal cannula and oxygen mask only
3. CSpare tracheostomy tubes, including one a size smaller, and working suction
4. DA blood glucose meter and a spare urinary catheter of the same size

Which rule is essential for safe use of patient-controlled analgesia (PCA)?

1. ARelatives should press it while the patient sleeps
2. BThe nurse should press it every hour
3. CThe button should be pressed before each meal
4. DOnly the patient should press the button

2 型糖尿病の患者が急に具合が悪くなり、強い脱水があり、血糖は 40 mmol/L ですが、ケトンはほとんどありません。最も考えられる診断は？

1. A脱水を伴う糖尿病性ケトアシドーシス
2. B高浸透圧高血糖状態
3. C低血糖
4. D尿崩症

An older man has sudden severe abdominal and back pain, is hypotensive and has a pulsating mass in the abdomen. What should be suspected?

1. ARenal colic from a kidney stone
2. BAcute gastritis from anti-inflammatory drugs
3. CA ruptured abdominal aortic aneurysm
4. DMusculoskeletal back pain

高齢の患者が夜のうちに急に混乱し、注意力が変動しています。まず調べるべき原因は？

1. A感染や薬など、背景にある問題によるせん妄
2. B正常な加齢
3. C周囲への関心の欠如
4. Dアルツハイマー病の突然の発症