解答つき臨床看護学ワークシート

Moisture-associated skin damage is mainly caused by:

1. AAn allergy to the bed sheets
2. BA deep tissue infection
3. CProlonged contact with urine, faeces or sweat
4. DPressure over a bony area for a long time

What does a peak flow meter measure?

1. AThe total amount of air the lungs can hold
2. BThe number of breaths per minute
3. CThe oxygen level in the blood during a deep breath
4. DThe fastest rate at which a person can blow air out

Postural (orthostatic) hypotension is a drop in blood pressure that happens:

1. AOn standing up from lying or sitting
2. BOnly during deep sleep
3. COnly during heavy exercise or climbing stairs
4. DAfter eating a large meal

What is the recommended first aid for a thermal burn?

1. ACool it under cool running water for about 20 minutes
2. BSpread butter or oil over the burn
3. CApply ice directly to the burn until the pain stops completely
4. DBurst any blisters to release the fluid

Modern wound care generally aims to keep a healing wound bed:

1. ASoaked in antiseptic solution every day
2. BMoist but not wet
3. CTightly packed with dry gauze
4. DCompletely dry and open to the air

患者の NEWS2 スコアが 7 に上がりました。適切な対応は？

1. A鎮静薬を与えて後で再確認する
2. B12 時間ごとの観察を続ける
3. C集中治療の技能を持つ臨床チームによる緊急評価
4. Dスコアを記録し、観察を増やして、朝の回診を待つ

A few hours after cardiac surgery, a patient has low blood pressure, a raised jugular venous pressure and quiet, muffled heart sounds. What should be suspected?

1. APneumonia
2. BHypovolaemia from dehydration
3. CHyperkalaemia
4. DCardiac tamponade

A patient suddenly develops a severe "worst ever" headache that reached full intensity within seconds, followed by vomiting and neck stiffness. What should be suspected?

1. ASinusitis
2. BSubarachnoid haemorrhage
3. CMigraine with aura in a known migraine sufferer
4. DTension headache